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PROTOZOAN PARASITES
OF
DOMESTIC ANIMALS
AND
OF MAN
PROTOZOAN PARASITES
OF
DOMESTIC ANIMALS
AND
OF MAN
by
NORMAN D. LEVINE. Ph.D.
Professor of Parasitology
College of Veterinary Medicine
University of Illinois, Urbana, Illinois
^* "^
w
BURGESS PUBUSHING COMPANY
426 South Sixth Street — Minneapolis 15, Minnesota
Copyright © 1961
by
Norman D. Levine
All Rights Reserved
Library of Congress Catalog Card No. 61 9214
No part of this book may be reproduced in any form
without permission in writing from the publishers.
Printed in the United States of America
DEDICATED TO MY PARENTS:
To Max Levine, whose example guided me to a
career in science
To Adele Levine, whose example helped me to
an interest in the humanities
Preface
The importance of protozoan parasites as causes of disease in domestic animals is
well recognized, yet the literature on them is still widely scattered and the books now
available provide little more than an introduction to the subject. The present book was
written to serve as a text and reference work for veterinarians, protozoologists, para-
sitologists, zoologists and also for physicians. As our knowledge of the relations be-
tween human and animal parasites has increased, the list has also increased of parasites
which were once thought to be confined to domestic and wild animals but which are now
known to occur also in man. The area of overlap between the fields of human and animal
disease is becoming continually greater, and the zoonoses are receiving more and more
attention. For this reason, the protozoan parasites of man are included in this book,
and their relations to those of lower animals are indicated.
When this book was begun, it was intended to be a revision of the pioneering
Veterinary Protozoology by the late Banner Bill Morgan and the late Philip A. Hawkins,
the second edition of which was published in 1952. However, it soon became apparent
that far more than this was necessary, and the result has been an entirely new book.
It is planned to follow this volume with others on veterinary helminthology and en-
tomology. The first chapter, therefore, deals with the general principles of parasitology,
while the second is an introduction to protozoology. The different groups of protozoa are
discussed in the succeeding chapters, and the final chapter deals with laboratory diag-
nostic technics. This systematic organization based on parasite groups is used rather
than one based on host animals because it is more efficient, avoids repetition, and makes
the subject easier to present and to understand. However, it is also useful to know which
parasites one can expect to find in each host. Lists of parasites by host have therefore
been prepared and are incorporated in the index. E. A. Benbrook (1958. Outline of
parasites reported for domesticated animals in North America. 5th ed. Iowa State Univ.
Press) has listed the parasites both by host and by location in the host.
The world today is too small to permit a provincial approach to parasitism and
disease. Katanga and Uttar Pradesh, Kazakhstan and Luzon are only a step from New
York and San Francisco, and their problems and their diseases are becoming more and
more our concern. The scope of this book, therefore, is world-wide, and parasites are
discussed regardless of where they occur. However, major attention is given to the
parasites of those domestic animals which occur in the temperate zones, and relatively
little is included on parasites of animals like the elephant, camel, llama, reindeer and
yak, even tho they are important domestic animals in some regions.
When C. M. Wenyon wrote his classic Protozoology in 1926, he remarked that one
of his chief difficulties had been that hardly a week passed without the publication of some
paper of importance; that difficulty is far greater today than it was then. The number of
published papers has been increasing exponentially, and there is no sign that the loga-
rithmic phase of the curve is near its end. Even if one tries to read the current journals
faithfully and to use the abstract journals assiduously, important papers may escape his
notice. I am sure that some have escaped mine, and I should appreciate having them
called to my attention. In addition, to help me in preparing future editions, I should ap-
preciate receiving reprints of pertinent papers.
- i -
A favorite saying of Jean Baer is that textbooks perpetuate errors by copying them
from one to another. I have tried to avoid this by going to the original papers as much
as possible, but in so doing I may well have introduced some errors of my own. I should
appreciate having these called to my attention also.
Papers are appearing so fast that, unless one is forced to it, he cannot take the
time to read and ponder those outside his own immediate field of interest and to try to
integrate them into a coherent whole. Writing this book has made me do so, and the
process has taught me a great deal. Not only have I learned many things which I did not
know, but I have come to realize more clearly how much information we still lack, even
about parasites which have been studied extensively. This book reflects that situation.
The reader will find at least one question, one gap in our knowledge on each page. Each
is a challenge for future research which I hope will be accepted by many who read this
book.
I should like to express appreciation to Drs. Carl A. Brandly, John O. Corliss,
William R. Horsfall, Francis J. Kruidenier, R. N. Mohan and Miss Virginia Ivens for
reading and commenting on various chapters; to Mrs. Helen V. Olson for preparing fig-
ures 6, 13A, 18, 19, 20K-1, 24 and 31; to Miss Ada Price for typing the greatest part of
the manuscript; to Mesdames Marion Corzine, Mardell Harris, Kathryn Hill, Janet
Manning, Lucille Rice, Carolyn Seets and Misses Eileen Bourgois and Beverly Seward
for proof-reading the manuscript; to Drs. E. R. Becker, J. F. Christensen, H. Christl,
F. P. Filice, D. M. Hammond, C. A. Hoare, R. R. Kudo, J. Ludvik, E. R. Noble,
G. A. Noble, Muriel Robertson, R. M. Stabler, E. E. Tyzzer and D. H. Wenrich, to
Balliere, Tindall & Cox, Cambridge University Press, Charles C Thomas, the Common-
wealth Agricultural Bureaux, Gustav Fischer Verlag, Iowa State University Press, Johns
Hopkins Press, Springer-Verlag, University of California Press, Williams & Wilkins Co.
and The Wistar Institute, and to the Annals of Tropical Medicine and Parasitology, Iowa
State Journal of Science, Journal of Morphology, Journal of Parasitology, Journal of
Protozoology, Parasitology, Quarterly Journal of Microscopic Science, Quarterly Re-
view of Biology, University of California Publications in Zoology, Veterinary Reviews
and Annotations, Zeitschrift fur Parasitenkunde, and Zentralblatt fur Bakteriologie for
permission to reproduce some of their illustrations; and, not the least, to the Burgess
Publishing Company for its patience and understanding during the time this manuscript
was in preparation.
NORMAN D. LEVINE
University of Illinois
Urbana
November, 1960
- 11 -
^ -"- Contents
Page
Preface i
Chapter
1 Introduction to Parasitology 1
2 Introduction to the Protozoa 18
3 The Hemoflagellates 40
4 Histomonas 74
5 The Trichomonads 82
6 Other Flagellates 107
7 The Amoebae 129
8 The Telosporasida and the Coccidia Proper 158
9 Klossiella and Hepatozoon 254
10 Plasmodium, Haemoproteus and Leucocytozoon 259
11 The Piroplasmasida 285
12 Sarcocystis, Toxoplasma and Related Protozoa 317
13 The Ciliates 347
14 Laboratory Diagnosis of Protozoan Infections 377
Appendix Scientific and Common Names of Some Domestic
and Wild Animals 395
Index and Host-Parasite Lists 399
81589
- Ill
Parasitology is the science which
treats of parasites. The word "parasite"
is derived from the Greek and means,
literally, "situated beside. " It was used
by the ancient Greeks originally for
people who ate beside or at the tables of
others, and referred both to sycophants
or hangers-on and to priests who col-
lected grain for their temples. While the
social meaning of the term has been par-
tially retained, it has been given a new
connotation by scientists. Parasites are
defined as organisms which live on or
within some other living organism, which
is known as the host. Parasitism is the
association of two such organisms.
Parasites may be either animals or
plants--viruses, rickettsiae, spirochetes,
bacteria, yeasts, fungi, algae, mistletoe,
dodder, protozoa, helminths, arthropods,
molluscs, and even certain vertebrates
such as the cuckoo. The general prin-
ciples of parasitology apply to all. How-
ever, in this book we shall deal primarily
with animal parasites, leaving the plant
parasites to textbooks of microbiology.
In our everyday thinking we consider
that animals can live in three main hab-
itats--land, fresh water and sea water.
A fourth habitat is the parasitic one,
which is quite different from the other
three. As a matter of fact, there are
quite a few different parasitic habitats,
each with its own characteristics. Para-
sites are found in the lumen of the intes-
tinal tract, on the outside of the body, in
the skin, in various tissues, in the blood
plasma, inside different types of cells,
and even inside cell nuclei.
Parasites have arisen from free-
living animals. Some parasites closely
resemble their free-living relatives, but
others have undergone structural changes
which make them more suited to their
changed environment. Since these
changes have in many cases been the loss
of some power which their free-living
relatives possess, parasites have some-
C/iapter 1
IHTROdUCTm
TO
PARASITOLOGY
- 1
INTRODUCTION TO PARASITOLOGY
times been considered degenerate crea-
tures. The opposite is true. Parasites
are highly specialized organisms. Those
powers which were unnecessary, they
have lost. For instance, the adults of
most parasitic worms have relatively
little ability to move around. But they
don't need it. Too much activity might
even lead to their reaching the point of no
return and being discharged from their
host's body.
As another example, tapeworms have
no intestinal tract. But, since they ob-
tain their nourishment directly thru the
body wall, an intestine would be super-
fluous. Thus, in the case of parasites as
with all other animals and plants, the use-
less has been eliminated in the course of
evolution.
being confronted by odds of this sort and
are continually surmounting them.
Life of one sort or another seems to
have flowed into every possible niche.
Parasites live in some of the most diffi-
cult niches, and it is remarkable how they
have succeeded in surviving in them.
Parasites have tremendous problems to
solve--problems of nutrition, of respira-
tion, of excretion, of getting from one
host to another--and the different and
often ingenious ways in which different
parasites have solved these problems are
amazing. Some of their adjustments are
almost perfect; others are less satisfac-
tory. In general, we may say that the
more satisfactory the solution, the more
abundant are the parasites. The rare
ones are the less successful ones.
In contrast, the reproductive system
of parasites is often tremendously devel-
oped. Since the chances of an egg or
larva leaving one host and infecting an-
other are very small, the numbers of
eggs produced must be very large. Many
parasitic worms produce thousands of
eggs a day. The female of Ascaris suum,
the large roundworm of swine, lays about
1, 400, 000 eggs per day (Kelley and Smith,
1956). Assuming that she lives 200 days,
which is not an excessive life, she will
have laid 280 million eggs in her lifetime.
Since the number of Ascaris in the world
is staying more or less the same, we can
conclude that on the average only two of
these eggs will produce adult worms--a
male and a female. The chance of any
particular egg ever becoming a mature
worm is thus about 1 in 140 million,
which is much less than a man's chance of
being struck by lightning.
The broad fish tapeworm of the dog,
man and other animals, Diholliriocephalus
laliis, will produce over 4 miles of seg-
ments containing 2 billion eggs during a
10-year life span, and again the number
of these tapeworms is not increasing.
Since these tapeworms are hermaphro-
dites, each egg can become an egg-laying
worm, but its chances of doing so are a
hundred times less than those of the
Ascaris egg. Parasites are continually
We can think of parasitism as related
basically to the solution of the problem of
nutrition, and we can think of the other
problems as somewhat secondary. This
is obviously an incomplete and defective
view, but nevertheless it has some value.
Living organisms have four general
types of nutrition. Holophytic nutrition is
typical of plants; it involves synthesis of
carbohydrates by means of chlorophyll.
Holozoic nutrition is animal-like; it in-
volves ingestion of particulate food thru a
permanent or temporary mouth. Sapro-
zoic or saprophytic nutrition (the choice
of term depending upon whether the organ-
ism is an animal or plant) involves ab-
sorption of nutrients in solution thru the
body wall. The fourth type of nutrition is
that employed by viruses, which synthe-
size their proteins directly from the host's
amino acids and do not have a true body
wall during their parasitic phase.
The terms saprophyte and saprophytic
are often used by bacteriologists in an-
other sense also, to refer to non-patho-
genic, non-parasitic organisms. The
terms saprozoite and saprozoic are also
similarly used with reference to free-
living animals, but much less frequently.
Coprozoic or coprophilic organisms
are animals which live in feces. They
INTRODUCTION TO PARASITOLOGY
may be either saprozoic or holozoic or
both, and are sometimes mistaken for
true parasites.
Parasites resemble predators in some
respects; indeed, one grades into the
other. In general, we think of predators
as larger than or as large as their prey,
while we think of parasites as consider-
ably smaller. A lion seizing an antelope
is a predator, as is a spider capturing a
fly. But there is a distinction only in size
of prey between a predatory assassin bug
capturing another insect and sucking out
its juices and the closely related, para-
sitic kissing bug sucking blood out of a
man. And a mosquito is just as much a
predator as the kissing bug. The distinc-
tion is one of degree. As Elton (1935) put
it, "The difference between a carnivore
and a parasite is simply the difference be-
tween living upon capital and income, be-
tween the burglar and the blackmailer.
The general result is the same although
the methods employed are different."
TYPES OF PARASITISM
There are several types of parasitism.
Parasitism itself is defined as an associa-
tion between two specifically distinct or-
ganisms in which one lives on or within
the other in order to obtain sustenance.
SvDibiosis is the permanent associa-
tion of two specifically distinct organisms
so dependent upon each other that life
apart is impossible under natural condi-
tions. The relation between many ter-
mites and their intestinal protozoa is
symbiotic. The termites eat wood, but
they cannot digest it; the protozoa can di-
gest wood, turning it into glucose, but
they have no way of obtaining it; working
together, the termites ingest wood par-
ticles, the protozoa break the cellulose
down to glucose, and the termites then
digest the glucose. Lichens furnish an-
other example of symbiosis. They are
composed of certain species of algae and
fungi living together.
Many insects, ticks and mites have
symbiotic bacteria and rickettsiae. The
symbiotic organisms are found either in
special cells, the mycetocytes, in modi-
fied parts of the Malpighian tubules, or
in special organs, the mycetomes. It is
significant that, among blood-sucking
arthropods, symbiosis occurs in those
which live on blood thruout their life cy-
cles (ticks, lice, bedbugs, kissing bugs,
tsetse flies, hippoboscid flies) but not in
those in which only the adults suck blood
while the larvae are free-living (fleas,
mosquitoes, phlebotomines, tabanids and
stable flies). Blood lacks some metabo-
lites which the arthropods are unable to
synthesize themselves and for which they
depend on their symbiotes. These meta-
bolites appear to include vitamins of the
B group and probably other substances as
well (Buchner, 1953; Koch, 1956; Weyer,
1960).
Mutualism is an association of two
organisms by which both are benefited.
It differs from symbiosis in that it is not
obligatory for both partners. One exam-
ple often cited is that of a sea anemone
living upon the back of a crab. The anem-
one is benefited by being moved to new
hunting grounds and by obtaining morsels
of food torn off by the crab, while the crab
is protected by the bulk and stinging ten-
tacles of the anemone. Another marine
example is that of the scorpion fish of
Indo-Malaya. It lives on the bottom of the
sea, where it lies in wait for passing fish.
It is covered with a crust of hydroids
which camouflage it so that it can seize
its unwary prey more easily. The hydroids
presumably benefit by being moved to new
sources of food and by being provided with
a dwelling-place. However, since they
can live other places beside the scorpion
fish's back, their relation is mutualistic.
Another example of mutualism, and
one closer to us, is the relationship be-
tween ruminants and the cellulose-digest-
ing bacteria and other micro-organisms
in their rumens. The latter are furnished
a favorable home by their hosts and aid
them by breaking down cellulose to usable
compounds. The rumen-dwelling bacteria
which produce B group vitamins and thus
make an outside source of them unneces-
sary for ruminant nutrition probably
INTRODUCTION TO PARASITOLOGY
belong here too, altho they verge on the
symbiotic. The bacteria which produce
these vitamins in the large intestine of
swine are more nearly mutualistic, since
the pigs cannot absorb the vitamins thru
the colon wall but must re-ingest their
feces to obtain them. The same is true
of rabbits, and is undoubtedly responsible
for their coprophagy.
The bizarre protozoa which swarm
in the rumen and reticulum are almost
certainly mutualistic. Their host can get
along without them, but they may benefit
it by providing a better type of protein
than it ingests. In addition, they are an
important source of volatile fatty acids,
and they smooth out the carbohydrate fer-
mentation process.
Commensalism is an association be-
tween host and parasite in which one part-
ner is benefited and the other is neither
benefited nor harmed. Many intestinal
bacteria such as Escherichia coli are
normally commensals, as are many in-
testinal protozoa such as Entamoeba coli
and Trichomonas spp.
The next two terms both refer to po-
tentially pathogenic parasites. Parasito-
sis is the association between two organ-
isms in which one injures the other,
causing signs and lesions of disease.
Parasitiasis is the association between
two organisms in which one is potentially
pathogenic but does not cause signs of
disease.
The difference between parasitosis
and parasitiasis is quantitative. In para-
sitiasis the host is able to repair the
damage caused by the parasite without
noticeable injury, while in parasitosis it
cannot. As Whitlock (1955) put it, "Para-
sitiasis is a state of balance. Parasitosis
is a state of imbalance. " Applying the
concept to ruminant helminths, Gordon
(1957) said, "Helminthiasis is almost uni-
versal and continuous, helminthosis is
more restricted and sporadic. However,
one shades imperceptibly into the other in
subclinical infestations." The same or-
ganism can cause either parasitosis or
parasititiasis, depending upon the number
present or upon the nutritional condition,
age, sex, immune state, etc. of the host.
Failure to recognize this distinction may
cause many false diagnoses--the mere
presence of a potentially pathogenic spe-
cies of parasite does not necessarily
mean that it is causing disease.
The carrier state furnishes a good
example of parasitiasis. Carriers are
animals which have a light infection with
some parasite but are not harmed by it,
usually due to immunity resulting from
previous exposure, but which serve as a
source of infection for susceptible ani-
mals. Thus, adult sheep and cattle may
be lightly infected with gastrointestinal
nematodes without noticeable effect, but
their lambs and calves may become heav-
ily parasitized from grazing with them.
The condition in the adults is parasitiasis;
that in the young is parasitosis. Adult
chickens rarely suffer from coccidiosis
because they have recovered from a clin-
ical or subclinical attack when young.
However, they are usually still lightly in-
fected and continue to shed a few oocysts;
they have coccidiasis. Cattle which have
aborted as a result of Brucella infection
may continue to shed the bacteria in their
milk without ordinarily suffering further
clinical attacks. The aborting cow has
brucellosis, while the carrier has bru-
celliasis.
These endings can also be applied to
the names of the disease agents, as has
already been done above. Thus, Haenion-
chiis coiitortus may cause haemonchosis
or haemonchiasis, Taenia may cause
taeniosis or taeniasis, Histomo>ias mel-
eagridis may cause histomonosis or his-
tomoniasis, depending on the circum-
stances.
It was mentioned earlier that the so-
lutions different parasites have made of
their problems of living have varied in
satisfactoriness. We might consider this
in regard to type of parasitism. Symbio-
sis is a highly specialized type of associ-
ation which occurs only in certain groups.
Mutualism is a much looser association,
also fairly uncommon. It could well be a
step on the road to symbiosis. The most
INTRODUCTION TO PARASITOLOGY
common types of parasitism are the last
three. Of these, commensalism is
clearly the most desirable, both from the
standpoint of the host (which isn't harmed)
and of the parasite. Parasitosis, which
harms the host, is in the long run harm-
ful to the parasite also. By injuring their
hosts, parasites harm their environment,
and if they are so indiscreet as to kill
their hosts, they die too. Parasitiasis
is intermediate between parasitosis and
commensalism in some cases, but not in
all.
HOST- PARASITE
RELATIONS
Depending on their species, para-
sites may live in any organ or tissue of
the host; they may live on its surface, or
they may spend most of their time away
from it. Special terms have been applied
to these relationships. An endoparasite
is a parasite that lives within the host's
body. An ectoparasite is one that lives
on the outside of the body. An erratic
{oT aberrant) parasite is one that has
wandered into an organ in which it does
not ordinarily live. An incidental para-
site is a parasite in a host in which it does
not usually live. A facultative parasite is
an organism that is capable of living
either free or as a parasite. An obliga-
tory parasite is an organism which must
live a parasitic existence. A periodic
parasite is one which makes short visits
to its host to obtain nourishment or other
benefits. A pseudoparasite is an object
that is mistaken for a parasite. Para-
sites may themselves be parasitized by
hyperparasites .
An organism which harbors a para-
site is its host. There are several types
of host. A definitive host is the host
which harbors the adult stage of a para-
site. An intermediate host is the host
which harbors the larval stages of the
parasite. A first intermediate host is
the first host parasitized by the larval
stages of the parasite. A second inter-
mediate host is the host parasitized by
the larval stages at a later period in the
life cycle. A paratenic or transport host
is a second (or third) intermediate host
in which the parasite does not undergo any
development but usually remains encysted
until the definitive host eats the paratenic
host.
The vector of a parasite or disease
agent is an arthropod, mollusc or other
agent which transmits the parasite from
one vertebrate host to another. If the
parasite develops or multiplies in the
vector, it is called a biological vector.
If the parasite does not develop or mul-
tiply in it, it is called a mechanical vec-
tor.
Intermediate hosts of helminths are
biological vectors, but biological vectors
are not necessarily intermediate hosts.
Indeed, the latter term has no applica-
tion to protozoa, bacteria, rickettsia or
viruses, none of which have larvae. Mos-
quitoes are biological vectors of malaria
and of yellow fever, and the tsetse fly is
a biological vector of Trypanosoma
brucei, for the parasites must develop in
them to become infective for the next ver-
tebrate host. However, tabanid flies are
merely mechanical vectors of Trypano-
soma evansi, since the parasites undergo
no development in them.
The terms infection and infestation
are used by different people in different
ways. The former term originally re-
ferred to internal agents of disease,
while the latter was used with reference
to external harassing agents, including
not only ectoparasites but also rodents,
pirates and thieves. This usage was cur-
rent during the latter part of the nine-
teenth century. Later on, it was felt de-
sirable to distinguish between parasites
which multiplied in their hosts and those
which did not. "Infection" was then used
for the former type of parasitism, and
"infestation" for the latter. This usage
was popular for a time, but it was never
universally accepted. More recently
there has been a trend toward the older
usage. Most American parasitologists
have accepted it, but most British ones
prefer to speak of helminth infestations.
In this book infection will be used to refer
to parasitism by internal parasites, and
INTRODUCTION TO PARASITOLOGY
infestation to parasitism by external para-
sites.
The term life cycle refers to the de-
velopment of a parasite thru its various
forms. It may be simple, as in an organ-
ism which multiplies only by binary fis-
sion, or it may be extremely complex,
involving alternation of sexual and asexual
generations or development thru a series
of different larval forms. A )>ionogenetic
parasite is one in which there is no alter-
nation of generations. Examples of this
type are bacteria, flagellate protozoa
such as Trichomonas , nematodes such as
Ascaris and Ancylostoma, and the ecto-
parasitic fish trematodes of the order
Monogenorida (= Monogenea). A hetero-
genetic parasite is one in which there is
alternation of generations. Examples of
this type are malarial parasites and coc-
cidia, in which sexual and asexual gen-
erations alternate, the endoparasitic
trematodes of higher vertebrates of the
order Digenorida (= Digenea), in which
there may be several larval multiplicative
stages before the adult, and the nematode,
Strongyloides, in which one generation is
parasitic and parthenogenetic while an-
other is free-living and sexual.
Depending on their type, parasites
may live in only one or in a number of
different types of hosts during the course
of their normal life cycles. A monoxen-
ous parasite has only one type of host--
the definitive host. Examples are coc-
cidia, amoebae, hookworms, fish trema-
todes, horse bots, streptococci and most
pox viruses. A heteroxenous parasite
has two or more types of host in its life
cycle. Examples are the malarial para-
sites, most trypanosomes, trematodes of
higher vertebrates, filariae, tapeworms,
the rickettsiae, yellow fever virus and
various encephalitis viruses.
These two pairs of terms are inde-
pendent of each other. Parasitic amoebae
and hookworms are monogenetic and
monoxenous. Filariid and spirurid nema-
todes are monogenetic and heteroxenous.
Strongyloides and most coccidia are het-
erogenetic and monoxenous. Malarial
parasites and trematodes of birds and
mammals are heterogenetic and hetero-
xenous.
Another group of terms deals with
host range, i.e. , the number of host spe-
cies in which a particular parasite may
occur. These parasites can be either
monoxenous or heteroxenous, monogen-
etic or digenetic. Indeed, there may be
a difference in host-restriction between
the definitive and intermediate hosts of
the same parasite. For example, the
blood fluke, Schistosoma japoniciini, can
become adult in a rather wide range of
mammals, but its larval stages will de-
velop in only a few closely related species
of snails.
The term, monoxenous parasite, is
used by some authors for a parasite which
is restricted to a single host species.
Such parasites undoubtedly exist, but they
are fewer than our present records indi-
cate. The human malarial parasites were
once thought to be monoxenous in this
sense of the word, but they have more re-
cently been found capable of infecting
apes, and it is now known that chimpan-
zees in West Africa are naturally infected
with P. malariae, the cause of quartan
malaria in man (Garnham, 1958). Many
species of coccidia are also known from
but a single host, but for the most part
closely related wild hosts have not been
examined nor have cross transmission ex-
periments been attempted with them. Be-
cause of this and because of the confusion
arising between this usage of monoxenous
and the one defined above, this usage
should be avoided.
A stenoxenoiis parasite is one which
has a narrow host range. Among the
coccidia, members of the genus Eimeria
are generally stenoxenous, as are the
human malaria parasites and cyclophyl-
lidorid tapeworms. Many nematodes such
as the hookworms, nodular worms, fila-
riids and spirurids tend to be stenoxenous.
Both biting and sucking lice are steno-
xenous, and many are even limited to
specific areas on their host. Relatively
few bacteria are stenoxenous, but Strep-
tococcus agalactiae, Mycobacterium
leprae, Vibrio, Mycoplasma, the spiro-
INTRODUCTION TO PARASITOLOGY
chete, Treponema, the rickettsiae, Ana-
plasma, Eperythrozoon, Haemobartonella
and Cowdria, and the viruses of hog chol-
era, duck hepatitis and yellow fever are
stenoxenous.
5. 7% of its mammals. If all these pos-
sible hosts were to be examined, one
might expect to find some 3500 species of
Eimeria in mammals and 34,000 in chor-
dates.
An euryxenous parasite is one which
has a broad host range. Among the coc-
cidia, members of the genus Isospora
are often euryxenous. So are most try-
panosomes, most Plasmodium species
(but not those affecting man), and many
species of Trichomonas. Most trema-
todes are euryxenous, as are Trichinella,
Dracunculns and Dioctophyma among the
nematodes. Fleas, chiggers and many
ticks are euryxenous. Most parasitic
bacteria are euryxenous; examples are
most species of Salmonella, Escherichia,
Brucella, Erysipelothrix and Listeria.
Among euryxenous rickettsiae are
Rickettsia, Coxiella and Miyagawanella
psittacii. Among euryxenous viruses are
those of rabies and many encephalitides.
Leptospira and Borrelia are euryxenous
spirochetes.
The use of these two terms, however,
may be deceptive. There exist in nature
all intergrades between them, and all we
have done has been to pick out the two
extremes of a continuum and give them
names.
Actually, the host range of most
parasites is broader than generally sup-
posed. The fact is that most animal
species have not been examined for para-
sites. For example, the genus Eimeria
is one of the commonest and best known
among parasitic protozoa. Becker (1956)
listed 403 species, of which 394 were
from chordates and 202 from mammals.
This is quite impressive, especially to
someone who wishes to study their tax-
onomy. However, according to Muller
and Campbell (1954), there are 33,640
known living species of chordates and
3552 of mammals. Some hosts have
more than one species of Eimeria, but
some coccidian species occur in more
than one host. Assuming that these more
or less cancel out, we can calculate that
Eimeria has been described from only
1. 17% of the world's chordates and from
So far only the qualitative aspect of
the host range has been discussed. How-
ever, altho a parasite may be capable of
living in more than one host, it is much
more common in some hosts than in
others. The principal hosts of a parasite
are those hosts in which it is most com-
monly found. The supplementary hosts
are those of secondary importance, and
the incidental hosts are those which are
infected only occasionally under natural
conditions. To these should be added
experimental hosts, which do not normally
become infected under natural conditions
but which can be infected in the laboratory.
This last category may include both inci-
dental and supplementary hosts and also
hosts never infected in nature.
In order to take into account this
quantitative aspect of the host-parasite
relationship, the terms quantitative host
spectrum or quantitative host range are
used. These give the amount of infection
present in each infected species.
Several factors affect the quantita-
tive host spectrum. One is geographic
distribution. The natural quantitative
spectrum may be quite different in one
locality than in another. The species of
animals present may be different, or the
incidence of infection may be different.
For example, a number of nematodes
parasitize both domestic and wild rumi-
nants. However, since the wild rumi-
nants of North America and Africa are
not the same, the quantitative host spec-
tra of the same parasites on the two con-
tinents are different. The spectrum is
still different in Australia, where there
are no wild ruminants but where wild
rabbits are susceptible to infection with
a few ruminant nematodes.
A second factor is climate. Many of
the same host species may be present in
different areas but climatic conditions in
one area may prevent or favor a para-
INTRODUCTION TO PARASITOLOGY
Site's transmission. For instance, the
common dog hookworm in most parts of
the United States is Ancylostoma caninum,
but in Canada it is Uncinaria slenocephala.
This is due to a difference in temperature
tolerance of the free-living larval stages.
Local conditions such as ground cover
are also important. If the vegetation is
open so that the sunlight can get down to
the surface of the soil where a parasite's
eggs, cysts or free-living stages are
found, survival will be much less, trans-
mission will be reduced and the numbers
of affected hosts will be fewer than if the
vegetation is thick and protective. Or the
kinds and numbers of parasites in a herd
of animals confined to a low, moist pas-
ture may be quite different from those in
a herd kept on a hill pasture or on drylot.
A fourth factor is that of the distribu-
tion of acceptable intermediate hosts.
Trypanoso7na briicei occurs only in Africa
because its tsetse fly intermediate hosts
occur only there. The fringed tapeworm
of sheep, Thysanosoma actinioides, is
found in the western United States but not
in the east despite the fact that infected
sheep have repeatedly been introduced
onto eastern pastures. A suitable inter-
mediate host does not occur on these
pastures, so the parasite cannot be trans-
mitted.
A fifth factor is that of chronologic
time. The quantitative host spectrum may
be quite different in the same locality at
different periods, particularly if an erad-
ication campaign has been carried out in
the interim. Echinococcosis is a case in
point. At one time it was extremely com-
mon in the dogs, sheep and people in Ice-
land, but it has now been eradicated.
Gapeworms were once common in poultry
in the United States, but as the result of
modern poultry management practices
they are now exceedingly rare in chickens
and turkeys, altho they are not uncommon
in pheasants.
A sixth factor is that of the ethology
or habits of the host. A species may be
highly susceptible to infection with a par-
ticular parasite, yet natural infections
may seldom or never occur. The habits
of the host may be such that it rarely
comes in contact with a source of infec-
tion even tho both exist in the same local-
ity. For example, wild mink in the mid-
western United States are not infrequently
infected with the lung fluke, Paragonimus
kelUcotti. It is easy to infect dogs with
this fluke experimentally, yet it is ex-
tremely rare in midwestern dogs. The
reason is that dogs rarely eat the cray-
fish which are the fluke's intermediate
host.
Because of these factors, we must
speak of «a///rrt/ and potential host spec-
tra. The latter term refers to the abso-
lute infectability of potential hosts and not
to the natural situation. The natural host
spectrum is an expression of the actual
situation at a particular time and place.
The two spectra may be quite different,
and of course the natural one will vary
considerably, depending on the circum-
stances. The complete host spectrum has
not been worked out for any parasite, and
to do so would be a very time-consuming
process. However, it will have to be
done, at least for the more important
parasites, before we can fully understand
their ecology and the epidemiology of the
diseases they cause.
Certain parasites and diseases occur
in man alone, others in domestic animals
alone, and others in wild animals alone.
Still others, including some important
ones, occur in both man and domestic
animals, man and wild animals, domestic
and wild animals, or in all three. A
knowledge of their host relations is im-
portant in understanding their ecology and
epidemiology.
A disease which is common to man
and lower animals is known as a zoo)iosis.
Zoonoses were redefined in 1958 by the
Joint WHO FAO Expert Committee on
Zoonoses as "those diseases and infec-
tions which are naturally transmitted be-
tween vertebrate animals and man" (World
Health Organization, 1959). Less than 20
years ago it was said that there were 50
zoonoses, but in the above report the
World Health Organization listed more
INTRODUCTION TO PARASITOLOGY
than 100, of which 23 were considered of
major importance. Many more are cer-
tain to be revealed by future investigations.
Our thinking about parasites and dis-
eases is ordinarily oriented toward either
man or domestic animals. In this context,
it is convenient to have a special term for
hosts other than those with which we are
primarily concerned. A reservoir host
is a vertebrate host in which a parasite or
disease occurs naturally and which is a
source of infection for man or domestic
animals, as the case may be. Wild ani-
mals are reservoirs of infection for man
of relapsing fever, yellow fever and moist
Oriental sore, while domestic animals are
reservoirs for man of trichinosis and
classical Oriental sore. Wild animals are
reservoirs of infection for domestic ani-
mals of many trypanosomes, while man is
a reservoir for domestic animals of Enta-
moeba histolytica.
Parasites and diseases may continue
to exist indefinitely in their reservoir
hosts, and man or domestic animals may
become infected when they enter the local-
ity where the parasites or diseases exist.
Such a locality is known as a nidus (liter-
ally, "nest"). This term is used primarily
in connection with vector-borne diseases,
altho it need not be restricted to them.
epidemiology, taxonomy, evolution, etc.
(see Hoare, 1955). A dei)ie is a natural
population within a species. It lies more
or less below the subspecies level, but it
is not a formal taxon and is not given a
Latin name. There are different types of
deme. Nosodemes differ in their clinical
manifestations. One example is Leish-
mania donovani, which has five nosodemes,
Indian, Mediterranean, Sudanese, Chinese
and South American, which produce differ-
ent types of disease. Serodemes differ
serologically. These are best known
among the bacteria and viruses, but also
occur among the animal parasites. Tri-
trichonionas foetus, for example, has
several serological types or serodemes.
Xenodemes differ in their hosts, and topo-
demes differ in geographic distribution.
There are also other types of demes.
The population of a parasite species within
a single host animal is a i)io)iodenie, and
that in a single flock or herd is an agele-
deme. Thus, a population of the stomach
worm, Haemouchus contortus, in a single
sheep is a monodeme, the population in
all the sheep of a single flock is an agele-
deme, that in all sheep is a xenodeme.
The population in all cattle is another
xenodeme and that in all goats is a third,
the population of H. contortus in all hosts
in North America is a topodeme, etc.
Natural nidi may be elementary or
diffuse (Palovsky, 1957). An elementary
nidus is confined within narrow limits.
A rodent burrow containing rodents, arga-
sid ticks and relapsing fever spirochetes
or a woodrat nest containing woodrats,
kissing bugs and Trypanosoma cruzi is an
elementary nidus. In a diffuse nidus the
donors, vectors and recipients are distrib-
uted more widely over the landscape. A
wooded region in which ticks circulate
Rickettsia rickettsii among the rodents
and lagomorphs is a diffuse nidus of
Rocky Mountain spotted fever, as is an
area where tsetse flies transmit trypan-
osomes among wild game. The nidality
of a disease refers to the distribution and
characteristics of its nidi.
The concept of the deme is useful in
discussing host-parasite relationships,
Each of these demes may differ mor-
phologically and physiologically, and a
large part of the taxonomist's work con-
sists in determining the limits of their
variation and deciding whether they are
really demes or different species. Since
the judgments of all taxonomists do not
agree, there is some variation in the
names which different parasitologists use.
Demes are advance guards in the march
of evolution, and no sharp line can be
drawn beyond which they become subspe-
cies or species. Taxonomists have been
able to arrive at no better statement of
how species are defined than to say that a
species is what a specialist on its group
says it is. And since some scientists are
splitters and others are lumpers, their
definitions vary with their temperaments.
For most of us, the best rule is the prag-
matic one of using those names which
10
INTRODUCTION TO PARASITOLOGY
make for the greatest understanding of the
organisms we study and of their relations
with each other and with their hosts.
Parasite evolution : Parasites have
evolved along with their hosts, and as a
consequence the relationships between the
parasites of different hosts often give val-
uable clues to the relationships of the
hosts themselves. Certain major groups
of parasites are confined to certain groups
of hosts. Sucking lice are found only on
mammals. Biting lice occur primarily on
birds, but a few species are found on
mammals. The monogenetic trematodes
are found almost without exception on fish;
some of the more highly evolved digenetic
trematodes are found in fish, but more
occur in higher vertebrates. There is a
tendency, too, for the more advanced di-
genetic trematodes to occur in the higher
host groups.
One would expect that, as evolution
progressed in different host groups, there
would develop in each one its own group
of parasites. This has often occurred.
Thus, of the 48 families of digenetic
trematodes listed by Dawes (1956), 17
occur only in fish, 8 only in birds, 3 only
in mammals, 2 in fish and amphibia, 3 in
reptiles and birds, 6 in birds and mam-
mals, 1 in fish, amphibia and reptiles,
2 in reptiles, birds and mammals, 1 in
amphibia, reptiles and birds, 3 in all but
fish, and 2 in all five classes of verte-
brates. Of the 11 classes of tapeworms
recognized by Wardle and McLeod (1952),
4 are found only in elasmobranch fish, 3
only in teleosts, 1 only in birds, 1 in
teleosts, amphibia and reptiles, 1 in tel-
eosts, birds and mammals, and 1 in am-
phibia, reptiles, birds and mammals.
This same tendency is apparent even
in parasitic groups which are quite widely
distributed. For example, many reptiles
and mammals (but not birds) have pin-
worms of the family Oxyuridae, but each
group has its own genera. Iguanas have
Ozolaimus and Macrae is, other reptiles
have Thelandros , Pharyngodon and sev-
eral other genera, rodents have Asfiicu-
liiris, Syphacia and Wellcomia, rabbits
have Passalurus, equids have Oxyuris,
ruminants have Skrjabinema, and man and
other primates have Enlerobius .
On the other hand, there are many
exceptions to this general rule, and it
cannot be used without corroboration as
the sole criterion of host relationship.
Many fish-eating birds and mammals have
the same species of trematodes for which
fish act as intermediate hosts. And the
fact that the pig and man share a surpris-
ing number of parasites is no proof of
their close relationship despite their sim-
ilarity of character and personality; it
simply reflects their omnivorous habits
and close association.
Adaptation to parasitism : Adaptation
to a parasitic existence has required many
modifications, both morphological and
physiological. Locomotion, at least of the
parasitic stages, has often become re-
stricted. Certain organs and organ sys-
tems may be lost. Tapeworms lack an in-
testine altho their ancestors presumably
had one, and adult trematodes have no eye-
spots altho their turbellarian ancestors
and many of their larvae have them.
Parasitic amoebae have no contractile
vacuoles altho their free-living relatives
do.
In contrast, many structures are
modified or hypertrophied for the para-
sitic life. Many helminths have hooks and
suckers to help them hold their position.
The protozoon, Gianiia, has turned most
of its ventral surface into a sucking disc.
The mouthparts of many insects and mites
have become highly efficient instruments
for tapping their hosts' blood supply. The
chigger, which does not suck blood, has
developed a method of liquefying its hosts'
tissues. The food storage organs of many
parasites have been enlarged. Many blood-
sucking arthropods which are unable to ob-
tain all the nutrients they need from blood,
have established symbiotic relationships
with various microorganisms and have
formed special organs for them.
The reproductive system of many
parasites has been hypertrophied to pro-
duce tremendous numbers of eggs. Other
parasites, such as the trematodes, have
INTRODUCTION TO PARASITOLOGY
11
developed life cycles in which the larvae
also multiply.
In the parasites with high reproduc-
tive rates, infection is left largely to
chance. Many other parasites, however,
have developed life cycles in which chance
is more or less eliminated. In these, the
reproductive rate is low. The larva of
the sheep ked, Melophagns ovinus, devel-
ops to maturity in the body of its mother
and pupates immediately after emerging.
The pupa remains in its host's wool. The
female tsetse fly, too, produces fully de-
veloped larvae. The tropical American
botfly, Derinaiobia honiinis, captures a
mosquito and lays her eggs on it. These
hatch when the mosquito lights to suck
blood, and the larvae enter the host.
Morphological and developmental
modifications are the most obvious ones,
but biochemical ones are even more im-
portant. How do parasites survive in
their hosts without destruction? What
keeps those which live in the intestine
from being digested along with the host's
food? Why is it that morphologically sim-
ilar species are restricted to different
hosts which themselves may be morpho-
logically quite similar?
The second question has been an-
swered by saying that the same mecha-
nism operates which prevents the hosts
from digesting themselves, that the para-
sites protect themselves by producing
mucus or that mucoproteins in their in-
tegument protect them, that they secrete
antienzymes, or that the surface mem-
brane of living organisms is impermeable
to proteolytic enzymes. However, much
more research must be done before a
satisfactory answer can be given. An-
swers given to the first and third ques-
tions are vague. Compatibility of host
and parasite protoplasm is invoked, but
all this does is put a name to the beast.
The question of how this compatibility is
brought about remains unanswered, and a
great deal of biochemical and immuno-
chemical research must be done before it
can be answered (see Becker, 1953; Read,
1950; von Brand, 1952).
Injurious effects of parasites on their
hosts . Parasites may injure their hosts
in several ways:
1. They may suck blood (mosquitoes,
hookworms), lymph (midges) or exu-
dates (lungworms).
2. They may feed on solid tissues, either
directly (giant kidney worms, liver
flukes) or after first liquefying them
(chiggers).
3. They may compete with the host for
the food it has ingested, either by in-
gesting the intestinal contents (asca-
rids) or by absorbing them thru the
body wall (tapeworms). In some cases
they may take up large amounts of cer-
tain vitamins selectively, as the broad
fish tapeworm does with Vitamin B12.
4. They may cause mechanical obstruc-
tion of the intestine (ascarids), bile
ducts (ascarids, fringed tapeworm),
blood vessels (dog heartworm), lymph-
atics (filariids), bronchi (lungworms)
or other body channels.
5. They may cause pressure atrophy
(hydatid cysts).
6. They may destroy host cells by grow-
ing in them (coccidia, malaria para-
sites).
7. They may produce various toxic sub-
stances such as hemolysins, histoly-
sins, anticoagulants, and toxic prod-
ucts of metabolism.
8. They may cause allergic reactions.
9. They may cause various host reac-
tions such as inflammation, hyper-
trophy, hyperplasia, nodule forma-
tion, etc.
10. They may carry diseases and para-
sites, including malaria (mosquitoes),
trypanosomosis (tsetse flies), swine
influenza (lungworms), salmon poison-
ing of dogs (flukes), heartworms (mos-
quitoes) and onchocercosis (blackflies).
11. They may reduce their hosts' resis-
tance to other diseases and parasites.
A great deal more could be said about
this subject. Additional information is
given in the symposium on mechanisms of
microbial pathogenicity of the Society for
General Microbiology (Howie and O'Hea,
1955).
12
INTRODUCTION TO PARASITOLOGY
Resistance and Immunity to Para -
sites . This is such a tremendous sub-
ject that its facets can only be hinted at.
The general principles of immunology
apply to animal parasites as much as they
do to bacteria, viruses and other micro-
organisms. However, since the associ-
ation of many of the larger parasites with
their hosts is not as intimate as that of
microorganisms, the hosts' immune res-
ponses may not be as great. This is
especially true with regard to the forma-
tion of circulating antibodies.
Immunity or resistance may be either
natural {innate) or acquired. Natural re-
sistance is the basis of host-parasite
specificity, but, as mentioned above,
little is known of its mechanism. Ac-
quired immunity may be either active or
passive. Active immunity results from
the body's own action. It follows expo-
sure to living or dead disease agents, and
can result from natural infection or arti-
ficial administration of virulent, attenu-
ated or killed organisms.
One type of active immunity is pre-
munition. This is immunity due to the
continued presence of the disease agent.
It occurs in such diseases as babesiosis
and anaplasmosis.
Passive immunity results from the
introduction of antibodies produced by
some other animal. It may be acquired
naturally, thru the colostrum or milk in
mammals or thru the egg yolk in birds,
or artificially by injection of antiserum.
Passive immunity is seldom as long-
lasting as active immunity.
Immunity against parasites and dis-
ease agents generally increases with age.
There are exceptions, however. Young
cattle, for instance, are more resistant
to Babesia and Anaplasnia than are adults.
Age immunity may be either developed as
the result of previous exposure or it may
be natural. Not all the factors operating
in the latter case are known. An impor-
tant one is that very young animals can-
not mobilize their body defenses against
invasion as efficiently as adults. For in-
stance, they do not produce antibodies at
first, depending on those acquired from
their mothers. Another factor, discov-
ered by Ackert and his co-workers (cf.
Ackert, Edgar and Frick, 1939) to explain
the relative resistance of older chickens
to Ascaridia galli, is that these birds have
more intestinal goblet cells than do young
birds. The goblet cells secrete mucus
which inhibits the development of the
worms. For further information on im-
munity in parasitic infections, see Talia-
ferro (1929), Culbertson (1941) and Soul-
sby (1960).
Genetic constitution is also important
in determining resistance to parasites.
For instance, Ackert el al. (1935) showed
that Rhode Island Red and Plymouth Rock
chickens are more resistant to Ascaridia
galli than are Buff Orpingtons, Minorcas
and White Leghorns. Cameron (1935)
found that in a mixed flock of sheep. Chev-
iots were less heavily parasitized with
gastrointestinal nematodes than Shetlands
and Scottish Blackface, and that these in
turn were less heavily parasitized than
Border Leicesters. Stewart, Miller and
Douglas (1937) found that Romney sheep
were markedly resistant to infection with
Ostertagia circunicincta. while Rambouil-
lets were less so and Southdowns, Shrop-
shires and Hampshires were least resist-
ant. Certain individuals among the more
susceptible breeds, however, were just as
resistant as the Romneys. Whitlock(1958)
has studied genetic resistance to tricho-
strongylidosis in sheep in some detail.
The nutritional status of the host may
affect its resistance. Poorly nourished
animals are usually more susceptible to
infection and suffer more severely from
its effects. Protein depletion or protein
starvation is particularly important.
Lack of specific vitamins and minerals
generally decreases resistance, but there
are cases in which lack of a certain vita-
min which the parasite requires may af-
fect the parasite adversely. Thus, Becker
and Smith (1942) found that when calcium
pantothenate was added to a ration con-
taining restricted vitamins B,, Bg and pan-
tothenate, the number of oocysts produced
hy Einteria nieschulzi infections in the rat
was increased.
INTRODUCTION TO PARASITOLOGY
13
Geographic Distribution . Some para-
sites, particularly those of man and his
domestic animals, are worldwide in dis-
tribution, but others are much more re-
stricted. But even a widely distributed
species may be much more prevalent in
one region than another. Many factors
are responsible, some of which have al-
ready been discussed (pp. 7-8). A para-
site which originated in a particular place
in a particular host species may never
have been introduced into some other lo-
cality or host where it could develop per-
fectly well. It may have been introduced
but may have died out because a suitable
vector was lacking or because the climate
was not suitable. The ox warble has not
been able to establish itself in the south-
ern hemisphere because the reversal of
seasons has prevented it from completing
its life cycle.
Whenever domestic animals are in-
troduced into a new region, there is a
good possibility that they will pick up
some of the parasites of their wild rela-
tives there. The parasite spectrum of
cattle in Africa differs from that in North
America, both of these differ from the
spectrum in Europe, and all three differ
from the spectrum in Australia. Wild
animals, too, may acquire parasites
from domestic ones or from other wild
species. Hence, the parasite spectrum
of animals in zoos may be quite different
from that in their normal habitat, and the
success of an attempt to introduce a new
game bird or mammal into a region may
depend in part on the parasites and dis-
eases that it encounters.
The importance of wildlife as a para-
site reservoir for domestic animals is
well illustrated by the report of Longhurst
and Douglas (1953) on the interrelation-
ships between the parasites of domestic
sheep and Columbian black-tailed deer in
the north coastal part of California,
where the two live on the same range.
They found in their survey of 63 sheep
and 81 deer that 1 species of trematode,
5 of cestodes, and 13 out of 18 species
of nematodes were common to both
hosts.
Origin of Parasitism . Parasites
originated from free-living ancestors.
The process probably began soon after
the first living forms appeared. The
change from a free-living to a parasitic
habitat has taken place many times in the
course of evolution. It has occurred as
new major groups appeared, it has taken
place independently many times in each
group, and it is undoubtedly still occur-
ring. Once established, the parasites
evolved along with their hosts.
In some cases, the parasites first
invaded the host thru the integument, like
Pelodera and related rhabditid nematodes.
In other cases, the parasites were swal-
lowed along with their host's food. Para-
sites with life cycles involving two or
more hosts became established first in
one host, and later on developed their
more complicated life cycles. The try-
panosomes, for instance, were originally
gut parasites of insects and only later be-
came blood parasites of vertebrates.
Preadaptation was necessary for
parasites to become established. They
must have had the ability to survive and
reproduce in the host before they entered
it. By far the great majority of free-liv-
ing forms which entered the alimentary
canal of some larger animal were killed
and digested, but some of them were able
to resist this process and a few were able
to live there. Some of the factors involved
have already been discussed (p. 10).
Economic Importance . Parasites
are responsible for heavy economic losses
to the livestock industry. These are due
in part to death, but even more important
are the losses due to illness, reduced
growth rate, decreased meat, milk, egg
and wool production and, in working ani-
mals, loss of working energy. It is im-
possible to quantitate these losses accu-
rately, but rough estimates can be made.
The U. S. Department of Agriculture
(1954) made such an estimate for losses
in agriculture during the ten-year period,
1942-1951. The figures on parasite losses
in Table 1 are taken from this publication.
Further details are given in the publication
itself and by Schwartz et al. (1955).
14
INTRODUCTION TO PARASITOLOGY
TABLE 1
ANNUAL LOSSES DUE TO PARASITES OF
LIVESTOCK IN THE U.S., 1942-1951
(from USDA, 1954)
Class of
Livestock
Average Annual
Value of
Production
Annual Losses
DoUais
% of
Production
Cottle
Sheep
Goats
Swine
Hoises and
Mules
Poultry
All Livestock
(screw-worms
only)
$3,431,539,000
404, 162, 000
16,375,000
3,473,817,000
835, 852, 000*
3, 149, 002, 000
$420, 658, 000
64, 626, 000
1, 886, 000
279, 826, 000
26, 320, 000
126,532,000
20, 000, 000
12.3
16.0
11.5
8.1
3.1
4.0
TOTAL
$11,310,747,000
$939, 848, 000
8.3
♦Average annual value of animals.
Parasites caused an estimated loss of
$939, 848, 000 per year. All other dis-
eases, both infectious and nutritional, were
estimated to cause a total annual loss of
$1,748, 594,000, so parasites are consid-
ered to be responsible for about 35% of the
losses in the American livestock industry.
A billion dollars a year is a sizeable fig-
ure. We can hardly expect to eliminate
this loss completely, but if every animal
owner took advantage of our present know-
ledge, a half billion dollars a year, or
even more, could be saved.
Scientific Names . There are several
million species of animals in the world.
Many of them are well enough known and
easy enough to recognize to have received
common names. However, these names
vary from one language to another and
from one locality to another among people
who speak the same language. Further-
more, the same common name is often
applied to different species in different
regions.
In the United States, "cattle" refers
to the ox. Box laiirus, but in India it re-
fers to the zebu. Bus indiciis, and in Eng-
land and some other countries (and in the
Bible) to domestic livestock in general.
"Fowl" has more than one meaning. It
may refer to the chicken, Gallns domesti-
cus, but it may refer to any bird raised
for food, including the turkey, Meleagris
gallopavo , and ducks. Most domestic ducks
are Anas platyrhynchos, but the Muscovy
duck is Cairina moschata. One of the worst
offenders is "rabbit" which is applied in-
discriminately to many quite different spe-
cies. Rabbits are not rodents, but lago-
morphs; they have four upper incisors,
whereas rodents have only two. The do-
mestic rabbit is the common wild rabbit of
Europe, Oryctolagus cunicitlus. The com-
mon wild rabbit of North America, however,
is the cottontail, Sylvilagiis, of which there
are 13 species. In addition, there are sev-
eral species of jack rabbits belonging to the
genus Lepiis. A list of scientific names of
domestic and common wild animals is given
in Appendix I.
In order to prevent the confusion which
would be inevitable in dealing with these
myriad species, a system of scientific
names has been worked out. This system
was first established by Linnaeus in the
eighteenth century, and the starting point
for the names of animals is the tenth edition
of Linnaeus' Syste»ia Naturae, which was
published in 1758. An International Code of
Zoological Nomenclature was adopted in
1904; it was reviewed at a colloquium held
in Copenhagen in 1953, and a new, revised
code was adopted by another colloquium
held in London in 1958. This code estab-
lishes rules for naming animal species and
for indicating their relationships.
In the system of binomial nomenclature
used for scientific names, each species is
given two names. The first name, which
is capitalized, is used for a group of closely
related species; this group is called a
and its name is the generic name. The sec-
ond name, which is not capitalized, is used
for a single species within the genus and is
called the specific name. A particular gen-
eric name can be used for only a single
group of species in the animal kingdom, but
the same specific name can be applied to
species in different genera. The generic
and specific names are often derived from
Latin or Greek, but they may also be based
INTRODUCTION TO PARASITOLOGY
15
on the names of persons, geographic lo-
calities, etc. They must, however, have
latinized endings. Both names are writ-
ten in italics.
The name of the person who first
named each species and the date when he
did it are also part of its scientific name,
altho these are often omitted in non-taxo-
nomic writing. If the namer assigned the
species to a different genus from the one
which is accepted as correct, then his
name and date are enclosed in parentheses
and are followed outside the parentheses
by the name of the person who assigned
the species to its present genus with the
date when he did it. If there has been no
change in the genus designated by the or-
iginal author, parentheses are not used.
Thus, the common large roundworm of the
dog, Toxocara canis, was first described
by Werner in 1782, but he assigned it to
the same genus as the earthworm, Lum-
bricus. In 1905, Stiles established a new
genus, Toxocara, for this species. The
original name, then, was Lumbricus canis
Werner, 1782, and the presently accepted
name is Toxocara canis (Werner, 1782)
Stiles, 1905. Similarly, in the early days
of parasitology almost all tapeworms were
assigned to a single genus, Taenia. As
knowledge increased, more and more gen-
era were split off from it. The common
sheep tapeworm was called Taenia expansa
by Rudolphi in 1805, but in 1891 Blanchard
established a new genus, Moniezia, for it,
so that its correct name is now Moniezia
expansa (Rudolphi, 1805) Blanchard, 1891.
Genera are grouped together into
families, families are grouped into orders,
orders into classes, and classes into phyla.
Each of these categories, and also each of
the lower ones, is known as a taxon (pi. ,
taxa). Subfamilies and superfamilies, sub-
orders and superorders, etc. are often
used, and in some cases so many relation-
ship levels are recognized that it is neces-
sary to introduce cohorts, tribes, etc.
Each family is based on one of its
genera, known as the type genus, and the
name of the family is obtained by attach-
ing the ending, -idae, to the root of the
name of the genus. Thus, Strongylus be-
longs to the family Strongylidae, and
Trichomonas to the family Trichomonad-
idae. The subfamily ending is -inae.
While the botanists long ago adopted
a system of uniform endings for the names
of their higher taxa, the zoologists have
never been able to agree on one. As a
consequence, it is impossible to determine
the ranks of the higher taxa with certainty
from their names. In the present book,
however, the system of uniform endings
proposed by Levine (1959) is used, so this
problem does not arise. These are:
Superclass, -asica; Class, -asida; Sub-
class, -asina; Superorder, -orica; Order,
-orida; Suborder, -orina; Supercohort,
-icohica; Cohort, -icohida; Subcohort,
-icohina; Superfamily, -icae; Family,
-idae; Subfamily, -inae; Supertribe,
-ibica; Tribe, -ibida; Subtribe, -ibina.
Many scientific names appear quite
formidable at first glance. They have def-
inite meanings, however, and it helps in
remembering them to know what these
meanings are. Since most scientific names
are based on Latin or Greek, a knowledge
of some of the descriptive words from
these languages is helpful. Much informa-
tion can be obtained from a dictionary of
derivations such as that of Jaeger (1955).
The thorny -headed worm of swine is
MacracantJiorhynchus hirudinaceus. This
name is derived from the Greek. The gen-
eric name means "large {macr-) thorny
{acantho-) proboscis {-rhynchus)." The
specific name is derived from the scien-
tific name of the leech (Hirudo) and means
"leechlike"; it was given because the worm
is firmly attached to the intestinal wall and
looks vaguely like a leech. The name of
the whipworm, Trichuris, commemorates
an error. This nematode looks a good
deal like a buggy-whip, with a sturdy body
and a long, whip-like anterior end about as
thick as a hair. T'' . ne, however,
means hair-tail an ' "tir-head. This
mistake was so offe. some scien-
tists that they propos . to substitute
Trichocephaliis for j.richuris. This is
not permissible according to the rule of
priority of the International Code of Zoo-
logical Nomenclature, so the error re-
mains.
16
INTRODUCTICN TO PARASITOLOGY
It is often discouraging to students
and scientists alike to see the many
changes in scientific names which continue
to be made. These, however, appear to
be inevitable. As new knowledge is
gained, some species must be split up,
others recombined and still others shifted
from one genus to another. It is some-
times found that a name which has been
long used and accepted must be dropped
in favor of an unfamiliar one, either be-
cause it had been used first for some other
species or because the less familiar name
had been given earlier but overlooked.
Another reason for these changes lies
in human nature itself. No satisfactory
criteria have ever been established for
the definition of species, and some taxo-
nomists go into finer differences than
others in separating them.
The taxonomists' difficulties arise
because what they are dealing with are
individual organisms, and all taxonomic
schemes are the result of man's attempts
to arrange these individuals in a system
which shows their relationships. All
taxa, whether species, subspecies, gen-
era, families or whatnot, are products
of this abstraction process and have no
real existence outside the human mind.
Many taxonomists, however, refuse to
accept this idea, believing that species
are real and external, and that their task
is simply to discover and differentiate
them. It is easy to understand why they
do not like to believe that they are devot-
ing their lives to figments of the imagin-
ation.
Without the labors of the systema-
tists we should be in a state of hopeless
confusion. Their scientific names and
their taxonomic schemes are absolutely
necessary if we are to carry out repro-
ducible experimental work or understand
practically all biological phenomena.
Becker, E. R. and L. Smith. 1942. Iowa St. Col. ). Sci.
16:443-449.
von Brand, T. 1952. Chemical physiology of endoparasitic
animals. Academic Press, New York.
Buchner, P. 1953. Endosymbiose der Tiere mit pflanzlichen
Mikroorganismen. Birkhauser, Basel/Stuttgart.
Cameron, T. W. M. 1935. Proc. 12th Intern. Vet. Congr.
3:44-62.
Culbeitson, J. T. 1941. Immunity against animal parasites.
Columbia Univ. Press, New York.
Dawes, B. 1956. The Trematoda. Cambridge Univ. Press,
Cambridge, England.
Elton, C. 1935. Animal ecology. Macmillan, New York.
Gamham, P. C. C. 1958. ]. Trop. Med. Hyg. 61:92-94.
Gordon, H. M. 1957. Adv. Vet. Sci. 3:287-351.
Hoare, C. A. 1955. Refuah Vet. 12:258-263.
Howie, J. W. and A. ]. O'Hea, eds. 1955. Mechanisms
of microbial pathogenicity. Fifth symposium of the
Society for General Microbiology held at the Royal In-
stitution, London, April 1955. Cambridge Univ. Press,
Cambridge, England.
Jaeger, E. C. 1955. A source -book of biological names
and terms. 3rd ed. Thomas, Springfield, Illinois.
Kelley, G. W. and L. J. Smith. 1956. J. Pamsit. 42:587.
Koch. A. 1956. Exper. Parasit. 5:481-518.
Levine, N. D. 1959(1958). System. Zool. 7:134-135.
Longhuret, W. M. and ]. R. Douglas. 1953. Trans. N. Am.
Wildlife Conf. 18:168-187.
Muller, S. W. and A. Campbell. 1954. Syst. Zool.
3:168-170.
Pavlovsky, Y. N. 1957. Natural nidality of disease in re-
lation to the ecology of the zoonoses. WHO Regional
office for Europe, Seminar on Veterinary Public Health.
EURO-85. 2/20 Rev. 1, pp. 30.
Read, C. P., Jr. 1950. Rice Inst. Pamph. 37(2):l-94.
Schwartz, B. et al. 1955. Proc. U. S. Livestock San.
Assoc. 58:303-308.
Stewart, M. A., R. F. Miller and J. R. Douglas. 1937.
J. Ag. Res. 55:923-930.
Taliaferro, W. H. 1929. The immunology of parasitic
infections. Century, New York.
U. S. Dept. of Agriculture. 1954. Losses in agriculture.
A preliminary appraisal for review. USDA Agr. Res.
Serv. ARS-20-1, Washington, D. C.
Wardle, R. A. and J. A. McLeod. 1952. The zoology of
tapeworms. Univ. of Minnesota Press, Minneapolis.
Whitlock, J. H. 1955. Proc. Am. Vet. Med. Assoc.
92:123-131.
Whitlock, J. H. 1958. Cornell Vet. 48:127-133.
World Health Organization. 1959. Joint WHO/FAO Expert
Committee on Zoonoses. Second Report. Tech. Rep.
Ser. No. 169, Geneva, pp. 83.
GENERAL REFERENCES
CHAPTER REFERENCES
Ackert, J. E. , S. A. Edgar and L. P. Frick. 1939. Trans.
Am. Micr. Soc. 58:81-89.
Ackert, J. E. , L. L. Eisenbrondt, J. H. Willmoth, B.
Glading and I. Pratt. 1935. J. Agr. Res. 50:607-624.
Becker, E. R. 1953. J. Parasit. 39:467-480.
Becker, E. R. 1956. Iowa St. Col. J. Sci. 31:85-139.
The following general references are a supple-
ment to the chapter references given above,
some of which are also general in nature.
Antipin, D. N. , V. S. Ershov, N. A. Zolotarev and V. A.
Salycev. 1959. Parasitologiya i invazionnye bolezni
sel'skokhozyaistvennykh zhivotniykh. 2nd ed. Gos. hdat.
Sel'skokh. Liter. , Moscow.
INTRODUCTION TO PARASITOLOGY
17
Audy, J. R. 1958. The localization of disease with special
reference to the zoonoses. Trans. Roy. Sec. Trop. Med.
Hyg. 52:308-328.
Baer, J. G. 1951. Ecology of animal parasites. Univ. of
111. Press, Urbana.
Baer, J. G. , ed. 1957. First symposium on host specificity
among parasites of vertebrates. Univ. Neuchatel, Swit-
zerland.
Baker, E. W. , T. M. Evans, D. J. Gould, W. B. Hull and
H. L. Keegan. 1956. A manual of parasitic mites of
medical or economic importance. Nat. Pest Control
Assoc. , New York.
Baker, E. W. and G. W. Wharton. 1952. An introduction
to acorology. Macmillan, New York.
Ball, G. H. 1943. Parasitism and evolution. Am. Natur-
alist 78:345-364.
Becker, E. R. 1933. Host specificity and specificity of
animal parasites. Am. J. Trop. Med. 13:505-523.
Belding, D. H. 1952. Textbook of clinical parasitology.
2nd ed. Appleton-Century-Crofts, New York.
Benbrook, E. A. 1958. Outline of parasites reported for
domesticated animals in North America. 5th ed. Iowa
St. Coll. Press, Ames, Iowa.
Benbrook, E. A. and M. W. Sloss. 1955. Veterinary Clin-
ical Parasitology. 2nd ed. Iowa State Univ. Press, Ames,
Iowa.
Biester, H. E. and L. H. Schwarte, eds. 1959. Diseases of
poultry. 4th ed. Iowa State College Press, Ames, Iowa.
Borchert, A. 1958. Lehrbuch der Parasitologie fur Tierarzte.
2nd ed. S. Hirzel, Leipzig.
Brumpt, E. 1949. Precis de parasitologie. 6th ed. 2 vols.
Masson et Cie. , Paris.
Cameron, T. W. M. 1952. The parasites of domestic
animals. 2nd ed. Lippincott, Philadelphia.
Cameron, T. W. M. 1956. Parasites and parasitism.
Wiley, New York.
CauUery, M. 1950. Le parasitisme et la symbiosis. 2nd
ed. G. Doin, Paris.
Chandler, A. C. 1923. Speciation and host relationships
of parasites. Parasitol. 15:326-339.
Chandler, A. C. 1948. Factors modif>'ing host resistance
to helminthic infections. Proc. 4th Intern. Congr. Trop.
Med. Malaria 2(6):975-983.
Chandler, A. C. 1953. The relation of nutrition to para-
sitism. J. Egypt. Med. Assoc. 36:533-552.
Chandler, A. C. 1953a. Immunity in parasitic diseases.
J. Egypt. Med. Assoc. 36:811-834.
Chandler, A. C. 1955. Introduction to parasitology. 9th
ed. Wiley, New York.
Chitwood, B. G. and M. B. Chitwood. 1950. An introduc-
tion to nematology. Rev. ed. B. G. Chitwood, Balti-
more, Md.
Clunies Ross, I. and H. McL. Gordon. 1936. The internal
parasites and parasitic diseases of sheep. Angus S Robert-
son, Sydney, Australia.
Cole, W. H. , ed. 1955. Some physiological aspects and
consequences of parasitism. Rutgers Univ. Press, New
Brunswick, N. J.
Faust, E. C. 1955. Animal agents and vectors of human
disease. Lea S Febiger, Philadelphia.
Faust, E. C, P. F. Russell and D. R. Lincicome. 1957.
Craig and Faust's clinical parasitology. 6th ed. Lea &
Febiger, Philadelphia.
Hall, M. C. 1930. The wide field of veterinary parasitol-
ogy. J. Parasitol. 16:175-184.
Herms, W. B. 1950. Medical entomology. 4th ed. Mac-
millan, New York.
Kotldn, S. 1953. Parazitologia. Mezogazdasagi Kiado,
Budapest.
Lapage, G. 1951. Parasitic animals. Cambridge Univ.
Press, Cambridge, England.
Lapage, G. 1956. Veterinary parasitology. Charles C
Thomas, Springfield, 111.
Lapage, G. 1956. Monnig's veterinary helminthology and
entomology. 4th ed. Williams G Wilkins, Baltimore.
Markell, E. K. and Marietta Voge. 1958. Diagnostic
medical parasitology. W. B. Saunders, Philadelphia.
Martini, E. C. W. 1952. Lehrbuch der medizinischen
Entomologie. 4th ed. G. Fischer, Jena.
Matheson, R. 1950. Medical entomology. 2nd ed. Corn-
stock, Ithaca, N. Y.
Morgan, B. B. and P. A. Hawkins. 1949. Veterinary hel-
minthology. Burgess, Minneapolis.
Most, H. , ed. 1951. Parasitic infections in man. Colum-
bia Univ. Press, New York.
Neveu-Lemaire, M. 1936. Traite d'helminthologie
medicale et veterinaire. Vigot Freres, Paris.
Newsom, I. E. 1952. Sheep disease. Williams S Wilkins,
Baltimore.
Orlov, N. P. 1958. Veterinamaya parazitologiya. Gosud.
Izdat. Sel'skokh. Liter, Moscow.
Pearse, A. S. 1942. Introduction to parasitology. Thomas,
Springfield, 111.
Reichenow, E. , H. Vogel and F. Weyer. 1952. Leitfaden
zur Untersuchung der tierischen Parasiter des Menschen
und der Haustiere. 3rd ed. J. A. Barth, Leipzig.
Rothschild, Miriam and Theresa Clay. 1957. Fleas, flukes
and cuckoos. A study of bird parasites. 2nd ed. Collins,
London.
Smith, Theobald. 1934. Parasitism and disease. Princeton
Univ. Press, Princeton, N. J.
Soulsby, E. J. L. 1960. Immuirity to helminths--recent
advances. Vet. Rec. 72:322-328.
Strong, R. P. 1935. The importance of ecology in relation
to disease. Science 82:307-317.
Stunkard, H. W. 1929. Parasitism as a biological phenom-
enon. Sci. Mon. 28:349-362.
Taliaferro, W. H. 1940. The mechanism of acquired im-
munity in infections with parasitic worms. Physiol. Rev.
20:469-492.
U. S. Dept. of Agriculture. 1956. Animal diseases. Year-
book of Agriculture, Washington, D. C.
Univ. of Illinois. 1952. Microscopic diagnosis of parasitism
in domestic animals. 111. Ag. Exper. Sta. Circ. No.
698. pp. 135.
Watson, J. M. 1960. Medical helminthology. Balliere
Tindall and Cox, London.
Weyer, F. 1960. Biological relationships between lice (Ano-
pluro) and microbial agents. Ann. Rev. Ent. 5:405-420.
Whitlock, J. H. 1960. Diagnosis of veterinary parasitisms.
Lea & Febiger, Philadelphia.
Chapter 2
iNTRODUCTION
TO
THE PROTOZOA
Protozoa form the most primitive
group in the animal kingdom. The bodies
of all other animals are composed of
many units, or cells, but those of the
protozoa are a single cell. No matter
how complex their bodies may be, and
many of them are very much so, all the
different structures are contained in a
single cell. This complexity has made
some investigators maintain that, instead
of being considered single cells, protozoa
should be thought of as non-cellular (see,
for example, Boyden, 1957). This argu-
ment is essentially a verbal issue--a
matter of how one wants to define "cell. "
Protozoa are microscopic in size,
only a few being visible to the naked eye.
They differ from the Metazoa in being
unicellular, but this difference is not as
clearcut as might be supposed. Some
protozoa have a syncytial stage in their
life cycle in which there are no cell walls
between the nuclei, and some species form
colonies which swim as a unit and which
contain somatic and reproductive organ-
isms which look different. The difference
between these and Metazoa is again partly
a matter of definition, and gives a clue to
how the Metazoa could have arisen.
The boundary between the Protozoa
and certain one-celled plants, too, is not
clearcut. For example, the whole group
of slime molds are considered by proto-
zoologists to be protozoa and assigned to
the order Mycetozoorida in the class
Sarcodasida, but botanists consider them
fungi and assign them to the class Myxo-
mycetes.
A still more confusing situation in-
volves the plant-like protozoa which con-
tain chlorophyll. Protozoologists assign
them to the subclass Phytomastigasina,
but botanists consider them green algae.
The problem is that there are many spe-
cies of colorless protozoa which differ
from green ones only in that they lack
chromatophores. Loss of chromatophores
can be produced experimentally. It has
18 -
INTRODUCTION TO THE PROTOZOA
19
been done in Euglena, for instance, by
treatment with streptomycin or simply by
growing the organisms at 34 to 35° C
(Pringsheim and Pringsheim, 1952). This
change of a plant into an animal would be
just as astounding as the metamorphosis
of Cinderella's pumpkin into a golden
coach if the differences between the lower
forms were as great as those between
higher plants and animals. However, the
principal difference is one of nutrition,
and many species are quite plastic, their
form of nutrition depending on circum-
stances. Indeed, many of the metabolic
pathways of the phytoflagellate, Ochro-
monas Dialhaniensis, aside from those in
which its chlorophyll takes part, are so
similar to those of men that Hutner has
facetiously called it a humanoid!
In recognition of this situation, Ernst
Haeckel proposed that the name Protista
be applied to all single-celled organisms
and that the group be considered inter-
mediate between the animal and plant
kingdoms. Relatively few modern taxon-
omists subscribe to this idea, perhaps
less because of any defect in the idea itself
than because they have been trained either
as botanists or zoologists and not as biol-
ogists.
Since their discovery by Leeuwenhoek,
some 30,000 species of protozoa have been
described. They occur in practically all
habitats where life can exist and are among
the first links of the food chain on which
all higher life depends. Floating in the
plankton of tropic seas, they cause the
luminous glow of waves and ship-wakes.
Blooming off our coasts, they cause the
red tide which deposits windrows of dead
fish on shore. They abound in ponds and
streams and in the soil. Their role in
sewage purification is just beginning to be
understood. Their skeletons cover the
ocean floor and form the chalk we use in
classrooms.
As parasites, protozoa play a double
role. Malaria is still the world's most
important disease. Trypanosomes have
interdicted vast African grazing lands for
livestock. Amoebae cause dysentery in
man, and coccidia cause it in his domes-
tic animals. But other protozoa, packing
the termite's hind-gut almost solidly, di-
gest the cellulose that it eats and feed it
with their wastes and dead bodies. Fabu-
lous numbers of protozoa swarm in the
rumen and reticulum of cattle and sheep
and in the cecum and colon of the horse,
but their role is still not clear.
In this book we are concerned with the
protozoan parasites of domestic animals.
Our understanding of these forms can be
enhanced by knowledge of the parasites of
other animals and of free-living forms.
For further information on the protozoa in
general, reference is made to Doge'l (1951),
Grasse (1952-53), Grell (1956), Hall (1953),
Hyman (1940), Kudo (1954), Reichenow
(1949-53) and Wenyon (1926).
STRUCTURES
The structures of protozoa are not
referred to as organs as in higher animals
but as organelles, organs being composed
of cells and organelles being differentiated
portions of a cell.
NUCLEI
Protozoa contain one or more nuclei,
which may be of several types. In the
protozoa other than ciliates, the nucleus
is vesicular, and all the nuclei in the same
individual look alike. There are two types
of vesicular nuclei. In one type, an endo-
some is present. The endosome is a more
or less central body with a negative Feul-
gen reaction and therefore without deoxy-
ribonucleic acid. The chromatin, which
is Feulgen positive and which forms the
chromosomes, lies between the nuclear
membrane and the endosome. This type
of nucleus is found in the trypanosomes,
parasitic amoebae and phytoflagellates.
In the other type of vesicular nucleus,
there is no endosome, but there may be
one or more Feulgen-positive nucleoli.
In these, the chromatin is distributed thru-
out the nucleus. This type of nucleus is
found in the Telosporasida, hypermasti-
gorid flagellates, opalinids, dinoflagel-
lates, and radiolaria.
20
INTRODUCTION TO THE PROTOZOA
In the ciliates there are two types of
nucleus which look different, and each
individual has at least one of each. The
niicronucleiis is relatively small; it di-
vides by mitosis at fission and apparently
controls the reproductive functions of the
organism. The ))iac runnel ens is relatively
large; it divides amitotically at fission and
apparently has to do with the vegetative
functions of the organism. Both these
nuclei appear quite homogeneous in com-
position in contrast to the vesicular nuclei
of other protozoa.
LOCOMOTION
Protozoa move by means of flagella,
cilia or pseudopods. A flagelhim is a
whip-like organelle composed of a central
axoneme and an outer sheath. The axo-
neme arises from a basal granule or
blepharoplast in the cytoplasm. The axo-
neme has been shown by electron micro-
scopy to be composed of 9 peripheral and
2 central fibrils. In some species a fla-
gellum may pass backward along the body,
being attached to it along its whole length
or at several points to form an nndulating
membrane. Flagella are found in the
Mastigasida and in the flagellate stages of
the Sarcodasida and Telosporasida.
A cilium is an eyelash-like organelle
resembling a small flagellum. It has a
sheath, basal granule and axoneme. In
Paramecium and other forms, the axo-
neme is composed of 9 peripheral and 2
central fibrils. Cilia are found in the
Ciliasida. The less specialized ciliates
have large numbers of cilia which are
arranged in rows and beat synchronously.
In the more specialized ciliates, special
locomotory organelles have been devel-
oped by fusion of cilia. A cirrus is a tuft
of fused cilia embedded in a matrix. A
membranelle is a more or less triangular
flap formed by the fusion of two or more
transverse rows of cilia; membranelles
are found especially around the mouth.
An undulating membrane (not to be con-
fused with the undulating membrane of
flagellates) is formed by the fusion of one
or more longitudinal rows of cilia; they
occur in the oral groove of some ciliates.
A pseudopod is a temporary locomo-
tory organelle which can be formed and
retracted as needed. There are four types
of pseudopod. A lobopod is a relatively
broad pseudopod with a dense outer layer
and a more fluid inner zone; lobopods are
found in the amoebae and some flagellates.
Afilopod is a slender, hyaline pseudopod
which tapers from its base to its pointed
tip; filopods tend to anastomose and may
fuse locally to produce thin films of cyto-
plasm; they contain no cytoplasmic gran-
ules. A tnyxopod [rhizopod, reticnlupod)
is a filamentous pseudopod with a dense
inner zone and a more fluid outer layer
in which cytoplasmic granules circulate;
myxopods branch and anastomose to form
complex networks which are used for
trapping food and also for locomotion;
they are found in the Foraminiferorida.
An axopod is a slender pseudopod which
projects from the body without branching
or anastomosing; it is composed of a thin
outer layer of fluid cytoplasm and an axial
filament composed of a fibrillar tube con-
taining a homogeneous core; axopods are
found in the Heliozoorida and Radiolari-
orida.
Locomotion can also be effected by
bending, snapping or twisting of the whole
body. A number of protozoa employ this
method.
There is still another type of locomo-
tion, gliding, exemplified by Toxoplasma,
Sarcocystis, coccidian merozoites, greg-
arines and Labyrintlinla, in which the body
glides smoothly along without benefit of
any apparent locomotor organelles, change
in shape or other visible cause. Kummel
(1958) found by means of electron micro-
graphs that the outer surface of certain
gregarines {Gregarina cuneata, G. poly-
morpfia, Beloides sp.) is thrown into a
series of deep, microscopic folds which
he thought produce mucus. Beneath these
folds in the pellicle are fibrils which he
thought contract to move the organism
along a mucous track. Jarosch (1959)
thought that the gliding of Gregarina,
Euglena and various single-celled plants
is caused by superficial fibrils thrusting
against extruded mucus. Beams et at.
(1959) found numerous ultramicroscopic
INTRODUCTION TO THE PROTOZOA
21
folds in the surface membrane and an
ultramicro^scopic network of fibrils about
50 to 200 A in diameter in the ectoplasm
of the trophozoites of Gregarina rigida
from the grasshopper. They believed that
gliding is probably accomplished by move-
ment of the body surface in contact with
the substrate and that the mucus which is
secreted may possibly provide a suitable
surface for locomotion. Ludvik (1958)
observed superficial, longitudinal fibrils
in electron micrographs of Sarcocystis
tenella. However, a definitive explana-
tion of the mechanism of gliding still
eludes us.
EXCRETORY ORGANELLES
Excretion in the Protozoa is either
thru the body wall or by means of a con-
tractile vacuole which may be simple or
may be associated with a system of feeder
canals or vacuoles. Contractile vacuoles
are probably more important as osmoreg-
ulatory organelles than for excretion.
They maintain water balance by removing
excess water from the cytoplasm and
passing it out of the body. They are found
in fresh-water protozoa but are absent in
most marine and parasitic protozoa. How-
ever, some of the latter, including Balan-
tidiuni and trypanosomes, contain them.
ORGANELLES ASSOCIATED
WITH NUTRITION
OTHER ORGANELLES
Nutrition among the protozoa may be
of several types. Rather elaborate clas-
sifications have been proposed by some
authors, but three types are sufficient for
our purposes. In holophytic nutrition,
which is characteristic of the phytoflagel-
lates, carbohydrates are synthesized by
means of chlorophyll which is carried in
chroiuatophores , which vary consider-
ably in size, shape and number.
In holozoic nutrition, particulate food
material is ingested thru a temporary or
permanent mouth. A temporary mouth is
formed by amoebae when they engulf their
food. A permanent mouth is a cytostome.
It may be simple or it may lead into a
cytopharynx. In many ciliates the area
around the cytostome forms a peristome,
and there may be a number of other spe-
cialized structures associated with it.
Particulate food passes into a. food vacuole
in the cytoplasm, where it is digested.
The indigestible material may be extruded
from the body either thru a temporary
opening or thru a permanent cytopyge.
In saprozoic nutrition, no specialized
organelles are necessary, nutrients being
absorbed thru the body wall. This type is
found in many protozoa, and may be pres-
ent along with holophytic or holozoic nu-
trition.
Protozoa have many other specialized
organelles which are found in different
groups. These will be described in the
appropriate places below.
REPRODUCTION AND LIFE CYCLES
Reproduction in the Protozoa may be
either asexual or sexual. The commonest
type of asexual reproduction is binary
fission, i.e., each individual divides into
two. The plane of fission is longitudinal
in the flagellates and transverse in the
ciliates. Cytoplasmic division follows
nuclear fission and separation of the
daughter nuclei. Vesicular nuclei and
micronuclei divide mitotically; macronu-
clei divide amitotically.
Multiple fission or schizogony is
found mostly in the Telosporasida. In this
type of fission, the nucleus divides several
times before the cytoplasm divides. The
dividing cell is known as a schizont,
agamont or segmenter, and the daughter
cells are merozoites or schizozoites.
Nuclear division, again, is mitotic.
A third type of asexual division is
budding. In this process, a small daugh-
ter individual is separated off from the
22
INTRODUCTION TO THE PROTOZOA
Side of the mother and then grows to full
size.
Internal budding or endodyogeny has
been described in Toxoplasma and Bes-
noitia. Two daughter cells are formed
within the mother cell and then break out,
destroying it (Goldman, Carver and Sul-
zer, 1958).
Several types of sexual reproduction
have been described, but only two occur
in parasitic protozoa. In conjugation,
which is found among the ciliates, two in-
dividuals come together temporarily and
fuse along part of their length. Their
macronuclei degenerate, their micronu-
clei divide a number of times, and one of
the resultant haploid pronuclei passes
from each conjugant into the other. The
conjugants then separate, and nuclear re-
organization takes place.
In syngamy, two gametes fuse to form
a zygote. If the gametes are similar in
appearance, the process is called isogamy;
if they are different, it is anisogamy, the
smaller gamete being the microgamete
and the larger one the macrogamete. The
gametes may be produced by special cells,
the microgametocytes and macrogamet-
ocytes, respectively. These are also
sometimes called gamonts. The zygote
may or may not then divide by multiple
fission to form a number of sporozoites.
The process of gamete formation is known
as gametogony. It may differ in different
groups, and will be described in the ap-
propriate places below.
Some protozoa form resistant cysts
or spores. A cyst results from the for-
mation of a heavy wall around the whole
organism. Spores are produced within the
organism by the formation of heavy walls
around a number of individuals which have
been produced by multiple fission or other-
wise. This process, known as sporogony,
ordinarily follows syngamy. Each spore
may contain one or more individual organ-
isms or sporozoites.
The vegetative, motile stage of a
protozoon is known as a tropliozoite.
HISTORY
The first person to see protozoa was
the Dutch microscopist, Antony van Leeu-
wenhoek (1632-1723). He used simple
lenses which he ground himself and which
gave magnifications as high as 270 times.
His letters to the Royal Society are a
classic of biology. Between 1674 and 1716,
Leeuwenhoek described many free-living
protozoa, among them, according to Dobell
(1932), being Euglena, Volvox and Vorti-
cella. Huygens in 1678 was the first to
describe Paramecium. Classic work on
free-living protozoa was done by O. F.
Milller (1786), Ehrenberg (1830, 1838) and
Dujardin (1841).
The first parasitic protozoon to be
discovered was Eimeria stiedae; Leeuwen-
hoek found its oocysts in the gall bladder
of an old rabbit in 1674. Later, in 1681,
Leeuwenhoek found Giardia lamblia in his
own diarrheic stools, and in 1683 he found
Opalina and Nyctotherus in the intestine of
the frog.
The first species of Tricfiomonas,
T. tenax, was found by O. F. Miiller in
1773 in the human mouth; he named it
Cer carta tenax. Donne found T. vaginalis
in the human vagina in 1837, and Davaine
found Trichomonas and Chilomastix in the
stools of human cholera patients in 1854.
The first trypanosome was discovered
in the blood of the salmon by Valentin in
1841, and the frog trypanosome by Gluge
and Gruby in 1842. Lewis found the first
mammalian trypanosome, T. lewisi, in the
rat in 1878. Evans discovered the first
pathogenic one, T. eva>isi, in 1881 in India,
where it was causing the disease known as
surra in elephants. Bruce discovered T.
brucei in Africa in 1895 and described its
life cycle and transmission by the tsetse
fly in 1897. In 1902, Dutton discovered
that African sleeping sickness of man was
caused by T. gambiense. Leishmania
tropica was first seen by Cunningham in
India in 1885 and was first described and
identified as a protozoon by Borovsky in
Russia in 1898. Leishman and Donovan
independently discovered Leishmania
donovani in India in 1903.
INTRODUCTION TO THE PROTOZOA
23
Histomonas meleagridis , the cause of
blackhead of turkeys, was discovered by
Theobald Smith in 1895. Its transmission
in the eggs of the cecal worm was discov-
ered by Tyzzer and Fabyan in 1922 and
described in detail by Tyzzer in 1934.
The first parasitic amoeba, Enta-
moeba gbtgivalis, was found in the human
mouth by Gros in 1849. Lewis found E.
coli in India in 1870, and Losch found E.
histolytica in Russia in 1875.
Balantidium coli was discovered by
Malmsten in 1857.
It was not until 154 years after Leeu-
wenhoek saw Eimeria stiedae that any
other telosporasids were found. Then, in
1828, Dufour described gregarines in the
intestines of beetles, and in 1838 Hake
rediscovered the oocysts of E. stiedae.
The most extensive early study of the coc-
cidia was that of Eimer (1870), who des-
cribed a number of species in various
animals. Schaudinn and Siedlecki (1897)
described the gametocytes and gametes of
coccidia and showed that they formed
zygotes. Further studies on the life cycle
of coccidia were published by Schaudinn
in 1898 and 1899. Classic work on the
coccidia of gallinaceous birds was done by
Tyzzer (1929) and Tyzzer, Theiler and
Jones (1932).
The human malaria parasite was dis-
covered in 1880 by the French army doctor,
Alphonse Laveran. Golgi (1886, 1889) re-
ported on its schizogony and distinguished
the types of fever caused by the different
species. MacCallum (1897), working with
the closely related Haemoproteiis of birds,
recognized that the exflagellation which
had been seen by Laveran was microgamete
formation, and later observed fertilization
and zygote formation in Plasmodium fal-
ciparum.
Ross worked out the life cycle of the
bird malaria parasite, Plasmodium re-
lictum {P. praecox), in India in 1898,
showing that it was transmitted by the
mosquito, Culex fatigans . Working inde-
pendently in Italy, Grassi and his collab-
orators (1898) almost immediately after-
ward found that human malaria is trans-
mitted by Anopheles mosquitoes.
Babesia bovis was discovered by
Babes in 1888. Theobald Smith and Kil-
borne described the cause of Texas fever
of cattle, B. bigemina in 1893; they showed
that it was transmitted by the tick, Boo-
philus annulatus, being passed thru its
eggs to the next generation of ticks which
then infected new cattle. This was the
first demonstration of arthropod trans-
mission of a protozoon.
The present century has seen many
advances in protozoology, but there are
many more ahead. Several times more
species of parasitic protozoa have been
described since 1900 than were known be-
fore, but these are only a fraction of the
total number. Exciting new discoveries
are being made every year on the physi-
ology and nutritional requirements of pro-
tozoa (Lwoff, 1951; Hutner and Lwoff,
1955), and the life cycles, host-parasite
relations, and pathogenesis of many spe-
cies are only now being worked out. The
electron microscope and the phase micro-
scope have opened up a whole new field
for morphologic study, chemotherapy is
progressing rapidly, and new discoveries
are being made even in taxonomy, which
most people used to consider a dead field.
CLASSIFICATION
Various classifications have been proposed for the Protozoa. They have been dis-
cussed by Hall (1953) and also by Biocca (1957). The classification used in the present
book is based on those used by Jahn and Jahn (1949) and Hall (1953), with certain mod-
ifications; the classification of the Ciliasida is based on Corliss (1956, 1959). The uni-
form endings for the names of higher taxa proposed by Levine (1959) are used. Most of
the groups not of veterinary or medical interest are omitted. In addition, some genera
24 INTRODUCTION TO THE PROTOZOA
once thought to be protozoa but now known to be otherwise are not included. Among these
are AnafilasDia, Eperyllirozooii and Haeniohartonella, all of which are rickettsiae; Bar-
tonella, which is a bacterium; and Pneumocystis, which is a yeast.
Class MASTIGASIDA
With 1 or more flagella. Nucleus vesicular.
Subclass PHYTOMASTIGASINA
Typically with chromatophores. Nutrition typically holophytic.
Order CHRYSOMONADORIDA
With 1 to 3 flagella. Chromatophores, if present, yellow, brown,
orange, or occasionally blue. Stored reserves include leucosin (pre-
sumably a polysaccharide) and lipids, but no starch.
Suborder EUCHRYSOMONADORINA
Flagellate stage dominant. Without siliceous skeleton or peri-
pheral zone of coccoliths.
Family CHROMULINIDAE
With 1 flagellum.
Caviomonas
Oikomonas
Sphaeromonas
Family OCHROMONADIDAE
With 1 long and 1 short flagellum.
Monas
Family PRYMNESIIDAE
With 3 flagella.
Prymnesium
INTRODUCTION TO THE PROTOZOA 2S
Order EUGLENORIDA
With 1 to 4 flagella. Chromatophores, if present, green.
Stored reserves composed of paramylum.
Suborder EUGLENORINA
Pellicle rigid. Flagellar sheath not swollen at base.
Seldom holozoic.
Family ASTASHDAE
Without chromatophores or stigma. With 1 flagellum.
Body highly plastic, altho usually elongate spindle-shaped.
Copromonas
Order DINOFLAGELLORIDA
With 2 flagella, 1 of which is transverse. Marine forms.
Suborder GYMNODINIORINA
Unarmored dinoflagellates (without theca).
Family GYMNODINIIDAE
With well-developed girdle and sulcus. Transverse fla-
gellum typically flattened. Tentacle and ocellus absent.
Gymnodinium
Suborder PERIDINIORINA
With a theca of a cellulose-like material, composed of separate
plates.
Family GONYAULACIDAE
Thecal plates distinct. One antapical plate is characteristic.
Gonyaulax
26 INTRODUCTION TO THE PROTOZOA
Order PHYTOMONADORIDA
With 1 to 8 flagella. Typically with 1 green chromatophore.
Body wall contains cellulose. Starch and lipids stored as food.
Family CHLAMYDOMONADIDAE
Solitary, with a well-developed membrane.
Polytoma
Subclass ZOOMASTIGASINA
Without chromatophores. Nutrition holozoic or saprozoic.
Order RfflZOMASTIGORIDA
With both flagella and pseudopods.
Family MASTIGAMOEBIDAE
With 1 to 3, rarely 4 flagella.
Histomonas
Order PROTOMASTIGORIDA
With 1 or 2 flagella.
Family TRYPANOSOMATIDAE
With 1 flagellum. Body characteristically leaf -like but
may be rounded. With a single nucleus and a kinetoplast.
With a basal granule from which a flagellum arises. Ex-
clusively parasitic.
Blastocrithidia Leptomonas
Crilhidia Phytomonas
Herpelo»ioiias Tyypa>ioso)ua
Leisliuiaiiia
Family BODONIDAE
With 2 flagella originating anteriorly, one directed anter-
iorly and the other posteriorly. Anterior end more or less
drawn out. With 1 to several contractile vacuoles.
INTRODUCTION TO THE PROTOZOA 27
Bodo
Cercomonas
PleuroDionas
Proteroinonas
Family AMPfflMONADIDAE
Body naked or loricate, with 2 equal flagella.
Spiromonas
Order POLYMASTIGORIDA
With 3 to about 12 flagella (2 in Retortamonas) and 1, 2 or several
nuclei. Without costa, axostyle (except in some Hexamitidae and Poly-
mastigidae) or parabasal body.
Family TETRAMITIDAE
With 4 flagella, 1 or 2 of which may be trailing.
Enteromonas
Tetrmnitus
Family RETORTAMONADIDAE
With 2 or 4 flagella, of which 1 is trailing. With 1 nucleus.
Cytostome with supporting fibrils present.
Chilomastix
Retortamonas
Family CALLIMASTIGIDAE
With a compact antero-lateral group of flagella which beat
as a unit. With 1 nucleus.
Callimastix
Selenonwnas
Family POLYMASTIGIDAE
With 4 anterior flagella and axostyle. With 1 nucleus.
Apparently without parabasal body.
Monocercomonoides
28
INTRODUCTION TO THE PROTOZOA
Family COCHLOSOMATIDAE
With 6 anterior flagella, 1 axostyle and a single nucleus.
Apparently without parabasal body.
Cochlosoma
Family HEXAMITIDAE
With 6 or 8 flagella, 2 nuclei and sometimes axostyles and
median or parabasal bodies. Bilaterally symmetrical.
Giardia
Hexaniila
Octomilus
Trepomonas
Order TRICHOMONADORIDA
With 3 to 6 flagella, of which 1 is trailing and may form part of an un-
dulating membrane. With 1 or many nuclei (the forms in vertebrates
have only 1 nucleus), but not with 2. With axostyle and parabasal body.
Family MONOCERCOMONADIDAE
With either a free or an adherent trailing flagellum but no
undulating membrane or costa.
Chilomitus
Hexamastix
Monocercomonas
Protrichomonas
Family TRICHOMONADIDAE
With an undulating membrane and a costa. Sometimes with
a pelta.
Pentatrichomonas
Trichomonas
Tritrickomonas
Order HYPERMASTIGORIDA
With many flagella, 1 nucleus and often multiple axostyles and para-
basal bodies. Intestinal parasites of termites and roaches.
Trichonynipha
INTRODUCTION TO THE PROTOZOA 29
Class SARCODASIDA
With pseudopods but without flagella or cilia. Nucleus vesicular.
Subclass RfflZOPODASINA
With lobopods, filopods or myxopods but without axopods.
Order AMOEBORIDA
With lobopods. Without test.
Family NAEGLERIDAE
With amoeboid and flagellate stages.
Naegleria
Trimastigamoeba
Family AMOEBIDAE
Free-living or coprozoic amoebae without a flagellate
phase.
Acanthamoeba Sappinia
Hartmannella Vahlkampfia
Family ENDAMOEBIDAE
Parasites in the digestive tract of vertebrates and inverte-
brates.
Dientamoeba Entamoeba
Endamoeba lodamoeba
Endolimax
Order TESTACEORIDA
With a single-chambered test.
Family ARCELLIDAE
Test simple and membranous. Pseudopods filose or sim-
ply branched.
Chlamydophrys
30 INTRODUCTION TO THE PROTOZOA
Class TELOSPORASIDA
With simple spores containing 1 to many sporozoites but without polar filaments.
Without pseudopods, cilia or flagella (except for flagellated microgametes in some
groups). Locomotion by body flexion or gliding. Reproduction both sexual and
asexual. All parasitic.
Subclass GREGARINASINA
Mature trophozoite extracellular, large. Parasites of digestive tract and
body cavity of invertebrates.
Subclass COCCIDIASINA
Mature trophozoite ordinarily intracellular, small.
Order EUCOCCIDIORIDA
Parasites of epithelial and blood cells of vertebrates and invertebrates.
Life cycle involves both sexual and asexual phases. Schizogony present.
Suborder ADELEORINA
Macrogamete and microgametocyte associated in syzygy during
differentiation. Microgametocyte usually produces few micro-
gametes. Sporozoites enclosed in an envelope. Monoxenous or
heteroxenous.
Superfamily ADELEICAE
Zygote inactive, may or may not develop a typical oocyst.
Family ADELEIDAE
Sporocysts formed in oocyst. In epithelium of gut
and its appended organs. Chiefly in invertebrates.
Klossia
Family KLOSSIELLIDAE
Typical oocyst not formed; a number of sporocysts,
each with many sporozoites, develops within a mem-
brane which is perhaps laid down by the host cell.
Two to 4 non-flagellate microgametes formed by
microgametocyte. Monoxenous, gametogony and
schizogony occurring in different locations in the same
host. In kidney and other organs of host.
Klossiella
INTRODUCTION TO THE PROTOZOA 31
Superfamily HAEMOGREGARINICAE
Zygote active (ookinete), secreting a flexible membrane which is
stretched during development. Heteroxenous. Life cycle in-
volves 2 hosts, one vertebrate and the other invertebrate. In
cells of circulatory system of vertebrates and digestive system
of invertebrates.
Family HAEMOGREGARINIDAE
Oocysts small, without sporocysts.
Haemogregarina
Family HEPATOZOIDAE
Oocysts large, containing many sporocysts, each with 4 to
12 or more sporozoites. Microgametes non-flagellate.
Hepatozoon
Family KARYOLYSIDAE
Sporoblasts become sporokinetes which invade the egg of a
mite before secreting sporocyst membrane. Sporocysts
with numerous sporozoites. Gametocytes in erythrocytes
of vertebrate host.
Karyolysus
Suborder EIMERIORINA
Macrogamete and microgametocyte develop independently.
Syzygy absent. Microgametocyte typically produces many micro-
gametes. Zygote not motile. Sporozoites typically enclosed in
a sporocyst. Monoxenous or heteroxenous.
Family EIMERIIDAE
Development in host cell proper. Oocysts and schizonts
without attachment organ. Oocysts with 0, 1, 2, 4 or many
sporocysts, each with 1 or more sporozoites. Monoxenous.
Schizogony in the host, sporogony typically outside. Mi-
crogametes with 2 flagella.
Dorisiella Tyzzeria
Einieria Wenyonella
Isospora
32 INTRODUCTION TO THE PROTOZOA
Family CRYPTOSPORIDIIDAE
Development on the surface of the host cell or within its
striated border and not in the cell proper. Oocysts and
schizonts with a knob-like attachment organ at some point
on their surface. Oocysts without sporocysts. Monoxenous.
Microgametes without flagella.
Crxptospu)-idii(7n
Family AGGREGATIDAE
Development in host cell proper. Oocysts typically with
many sporocysts. Heteroxenous. Schizogony in one host,
sporogony in another.
Merocystis
Family LANKESTERELLIDAE
Development in host cell proper. Oocysts without sporo-
cysts, but with 8 or more sporozoites. Heteroxenous, with
schizogony, gametogony and sporogony in a vertebrate host.
Sporozoites in blood cells, transferred without developing
by an invertebrate (mite or leech). Microgametes with 2
flagella, so far as is known.
Lankesterello
Schellackia
Suborder HAEMOSPORORINA
Macrogamete and microgametocyte develop independently. Syzygy
absent. Microgametocyte produces moderate number of micro-
gametes. Zygote motile (ookinete). Sporozoites naked. Heter-
oxenous. Schizogony in vertebrate host, sporogony in inverte-
brate. Pigment (hematin) formed from host cell hemoglobin.
Family PLASMODIIDAE
With the characters of the suborder.
Haemoproteus Leucocytozoon
Hepatocystis Plasmodium
Class PIROPLASMASIDA
Small, piriform, round, amoeboid or rod-shaped parasites of vertebrate erythro-
cytes and also in some cases of leucocytes or histiocytes. Pigment (hematin) not
INTRODUCTION TO THE PROTOZOA 33
formed from host cell hemoglobin. Without spores. Nucleus vesicular. Without
flagella or cilia. Locomotion by body flexion or gliding. Reproduction asexual,
by binary fission or schizogony. Existence of sexual reproduction dubious. All
parasitic. Heteroxenous. Vectors (if known), Lxodid or argasid ticks.
Order PIROPLASMORIDA
With the characters of the class.
Family BABESHDAE
Relatively large, piriform, round or oval parasites occur-
ring in erythrocytes of vertebrate host. Asexual reproduc-
tion in erythrocytes by binary fission or schizogony.
Aegyptianella
Babesia
Echinozoon
Family THEILERIIDAE
Relatively small, round, oval, irregular or rod-shaped
parasites of erythrocytes and lymphocytes or histiocytes of
vertebrate host. The forms in the erythrocytes may or
may not reproduce; in the former case they divide into 2 or
4 daughter cells. Asexual reproduction by schizogony (or
a series of binary fissions) in lymphocytes or histiocytes
followed by invasion of erythrocytes.
Cytauxzoon
Gonderia
The Her ia
Class TOXOPLASMASIDA
Without spores. With cysts or pseudocysts containing many naked trophozoites.
Nucleus vesicular. Without flagella or cilia. Locomotion by body flexion or glid-
ing. Reproduction asexual, by binary fission or endodyogeny (and possibly by
schizogony in young cysts). All parasitic. Monoxenous.
Order TOXOPLASMORIDA
With the characters of the class.
Family SARCOCYSTIDAE
With cysts. Multiplication by binary fission, and possibly
also by schizogony in young cysts.
Sarcocystis
34 INTRODUCTION TO THE PROTOZOA
Family TOXOPLASMATIDAE
With pseudocysts and probably true cysts as well. Multi-
plication by binary fission or endodyogeny and possibly by
schizogony in young pseudocysts.
Besnoitia
Encephalilozoon
Toxoplasma
Class CNIDOSPORASIDA
With spores containing polar filaments. Nucleus vesicular. All parasitic.
Order MYXOSPORORIDA
Spores comparatively large, with bivalve shell and 1 to 4 polar cap-
sules. Parasites of lower vertebrates, especially fish.
Order MICROSPORORIDA
Spores comparatively small, with 1 -piece shell and 1 or 2 polar fila-
ments. Typically parasites of invertebrates and fish.
Class CILIASIDA
With two types of nucleus--macronucleus and micronucleus. With cilia at some
stage of the life cycle.
Subclass HOLOTRICHASINA
Without or with poorly developed adoral zone of membranelles (except in
Peritrichorida).
Order GYMNOSTOMORIDA
Cytostome opens directly at surface or else into a slight depression
which lacks well-developed peristomial ciliature.
Family BUETSCHLIIDAE
Cytostome usually at anterior end. Anterior concretion-
vacuole (possibly a statocyst), one or more contractile
vacuoles and posterior cytopyge present. Cilia uniformly
distributed over body or restricted to certain areas.
Alloiozona Bundleia
Ampullacula Didesmis
INTRODUCTION TO THE PROTOZOA
35
Blepharoconus Holophryoides
Blephah'oprosthium Parnisotrichopsis
Blephayosphaera Polymorphella
Blepharozoum Prorodonopsis
BuetschUa Sulcoarcus
Family PYCNOTRICHIDAE
Body completely ciliated. A long groove usually leads to
the cytostome, which may lie near the middle or at the
posterior end of the body.
Bnxtouello
Infuiidibiiloriiiui
Order SUCTORIORIDA
Young with cilia; adults with tentacles.
Family ACINETIDAE
With endogenous budding. Tentacles capitate, usually ar-
ranged in groups. Lorica often present. Stalk present or
absent.
Allantosoma
Order TRICHOSTOMORIDA
Cytostome usually at base of well-defined oral groove or pit, the wall
of which bears 1 or more dense fields of adoral cilia; in some primi-
tive forms the cytostome is almost at the anterior end, but more often
it is shafted posteriorly on the ventral surface. Spiral torsion of the
body occurs in some genera.
Family BLEPHAROCORYTHIDAE
Somatic ciliation reduced to a few anterior and posterior
fields, with 1 or 2 groups of anal cilia near the cytopyge
and 2 or 3 distinct anterior groups. Cytostome antero-
ventral, opening into a long ciliated pharynx.
Blepharocorys Qchoterenaia
Charonina
Family CYATHODINIIDAE
Cilia limited to anterior half of body. Peristome a non-
ciliated, rather long triangular groove. Slender trichites
36 INTRODUCTION TO THE PROTOZOA
extend from a row of papillae along left rim of peristome,
and an adoral cilium arises from each papilla.
Cyathodinium
Family ISOTRICHIDAE
Mouth terminal or subterminal. Pharynx ciliated, with
longitudinal striations in its wall. Somatic ciliation com-
plete and practically uniform.
Dasytriclia
Isotricha
Family PARAISOTRICHIDAE
Mouth subterminal, opening just posterior to concretion
vacuole. Somatic ciliation complete, with an anterior tuft
of longer cilia.
Paraisotricha
Family BALANTIDIIDAE
Somatic ciliation complete, with cilia arranged in approx-
imately longitudinal rows. Peristome a pouch with a tri-
angular opening, thru which the short adoral band of mem-
branelles is not easily seen from the outside. Numerous
long fibrils extend into the endoplasm from the basal gran-
ules of cilia and membranelles. Concretion vacuole absent.
Balantidium
Order HYMENOSTOMORIDA
Adoral cilia fused in membranes, the number, size and arrangement
of which vary in different genera.
Family OPHRYOGLENIDAE
With a ciliated vestibule (peristome), an invagination of the
body wall, and a pharynx which opens into the vestibule. A
retractile body ("body of Lieberkiihn", "watch-glass body")
lies just to the left of the vestibule. Reproduction takes
place within a cyst. The resultant young ciliates (tomites)
leave the cyst, develop into trophic therontes and then into
large trophonts which encyst.
Ichthyophthirius
INTRODUCTION TO THE PROTOZOA 37
Family PARAMECIIDAE
With oral groove extending from the anterior end toward
the middle of the body. Somatic ciliation complete and
essentially uniform. Adoral ciliature including a dorsal
zone of long cilia (quadripartite membrane) and 2 peniculi
(dense bands of cilia extending in a shallow spiral toward
the cytostome).
Paramecium
Family TETRAHYMENIDAE
Adoral ciliature composed of 3 membranelles lying to the
left in the oral pouch; a fourth, paroral membrane extends
along its right margin. One or more stomatogenous rows
of cilia end at the posterior margin of the oral pouch.
Tetrahymena
Subclass SPIROTRICHASINA
Bases of adoral zone membranelles usually at right or oblique angle to long
axis of adoral zone; this series of membranelles extends anteriorly from the
left margin of the cytostome; the basal plate of each membranelle contains
2, 3 or rarely 4 rows of basal granules.
Order HETEROTRICHORIDA
Somatic ciliation usually complete. Peristome usually elongated and
fairly narrow, with adoral zone of membranelles along left wall. An
undulating membrane often extends for some distance along right mar-
gin of peristome.
Family PLAGIOTOMIDAE
Body densely ciliated. Adoral zone of membranelles well
defined. Undulating membrane at right margin of peri-
stome.
Nyctotherus
Order ENTODINIORIDA
Ciliation may be limited to the adoral zone; there may be 1 or more
additional bands or groups of membranelles. Skeletal plates usually
present.
38
INTRODUCTION TO THE PROTOZOA
Family OPHRYOSCOLECIDAE
With not more than 1 band of membranelles in addition to
adoral zone.
Amphacanthus
Caloscolex
Cunhaia
Diplodinium
Diploplastron
Elytroplastron
Enoploplastron EiuUplodinuim
Enlodiniiim
Eodinium
Epidinimn
Epiplastron
Eremoplastron
Meladiniujn
Ophryoscolex
Opisthotriclmm
Ostracodinium
Polyplastron
Family CYCLOPOSTHIIDAE
With 2 or more bands of membranelles in addition to
adoral zone.
Cochliatoxum
Cycloposthium
Ditoxuni
Elepliantophilus
Polydiniella
Prototapirella
Spirodinium
Tetratoxuni
Tlioracodinium
Triadinium
Trifasciciilaria
Tripalmaria
Tripliimaria
Troglodytella
Class PROTOCILIASIDA
With cilia. Nucleus vesicular.
Opalina
REFERENCES
The following list includes not only the papers cited in
this chapter but also a number of general references on the
Protozoa and on veterinary and medical protozoology.
Beams, H. W. , T. N. Tahmisian, R. L. Devine and E.
Anderson. 1959. J. Protozool. 6:136-146.
Becker, E. R. 1959. Protozoa. Chap. 36inBiester, H. E.
and L. H. Schwarte, eds. Diseases of poultry. 4th ed.
Iowa St. Univ. Press, Ames. pp. 828-916.
Biocca, E. 1957(1956). Alcune considerazioni suUq sis-
tematica dei protozoi e Sulla utilita di creare una nuova
closse di protozoi. Rev. Brosil. Malariol. 8:91-102.
Boyden, A. 1957. Are there any "acellular animals"?
Science 125:155-156.
Corliss, J. O. 1956. On the evolution and systematics of
ciliated protozoa. Syst. Zool. 5:68-91, 121-140.
Corliss, ]. O. 1959. An illustrated key to the higher
groups of the ciliated protozoa, with definitions of terms.
J. Protozool. 6:265-284.
Craig, C. F. 1948. Laboratory diagnosis of protozoan dis-
eases. 2nd ed. Lea & Febiger, Philadelphia, pp. 384.
Curasson, G. 1943. Traite de protozoologie veterinaire et
comparee. Vigot Freres, Paris. 3 vols. pp. xcv + 1268.
Dobell, C. 1932. Anthony van Leeuwenhoek and his "little
animals. " Harcourt, Brace, New York. pp. vii + 435.
Dogiel, V. A. 1951. Obshchaya protistologiya. Gosud.
Izdat. Sovet. Nauka, Moscow, pp. 603.
Dujardin, F. 1841. Histoire noturelle des zoophytes infus-
oires. etc. Roret, Paris, pp. xii + 684.
Ehrenberg, C. G. 1830. Organisation, systematik und geo-
graphisches Verhaltniss der Infusionsthierchen. Konig.
Akad. Wissenschaft, Berlin, pp. 108.
Ehrenberg, C. G. 1838. Die Infusionsthierchen als voUkom-
mene Organismen, etc. L. Voss, Leipzig, pp. xviii
+ 547.
Goldman, M. , R. K. Carver and A. J. Sulzer. 1958. Re-
production of Toxoplasma gondii by internal budding.
J. Parasit. 44:161-171.
Crosse, P. -P. , ed. 1952-53. Traite de zoologie. Vol. I,
Fuse. 1, 2. Masson, Paris, pp. xii + 2231.
Grell, K. G. 1956. Protozoologie. Springer, Berlin, pp.
vii + 284.
Hall, R. P. 1953. Protozoology. Prentice-Hall, New York,
pp. 682.
INTRODUCTION TO THE PROTOZOA
39
Hoare, C. A. 1949. Handbook of medical protozoology.
Balliere, Tindall G Cox, London, pp. xv + 334.
Hutner, S. H. and A. Lwoff, eds. 1955. Biochemistry and
physiology of protozoa. Vol. 2. Academic Press, New
York. pp. xiii + 388.
Hyman, L. H. 1940. The invertebrates. Vol. 1. Protozoa
through Ctenophorc. McGraw-Hill, New York. pp. xii
+ 726.
John, T. L. and F. F. Jahn. 1949. How to know the pro-
tozoa. Brown, Dubuque, la. pp. 234.
Jarosch, R. 1959. Zur Gleitbewegung der niederen Organ-
ismen. Protoplasma 50:277-289.
Jirovec.O. , K. Wenig, B. Pott, E. Bartos, J. Weiser and
R. Sramek-Husek. 1953. Protozoologie. Nak. Cesk.
Akad. Ved, Prague, pp. 643.
Kirby, H. 1950. Materials and methods in the study of
protozoa. Univ. Calif. Press, Berkeley, pp. x + 72.
Kudo, R. R. 1954. Protozoology. 4th ed. Thomas,
Springfield, 111. pp. xi + 966.
Kummel, G. 1958. Die Gleitbewegung der Gregarinen.
Elektronmikroskopische und experimentalle Unteisuch-
ungen. Arch. Protist. 102:501-522.
Levine, N. D. 1959(1958). Uniform endings for the names
of higher taxG. Syst. Zool. 7:134-135.
Ludvik, J. 1958. Elektronenoptische Befunde zur Morphol-
ogie der Sarcosporidien (Sarcocystis tenella Railliet 1886).
Zbl. Bakt. I. Orig. 172:330-350.
Lwoff, A., ed. 1951. Biochemistry and physiology of pro-
tozoa. Vol. 1. Academic Press, New York. pp. x
+ 434.
Morgan, B. B. and P. P. Hawkins. 1952. Veterinary proto-
zoology. 2nd ed. Burgess, Minneapolis, pp. vii
+ 187.
Mullet, O. F. 1786. Animalcule Infusoria fluviatilia et
marina, quae detexit, systematice descripsit et ad vivum
delineari curavit, etc. Typis N. MoUeri, Hauniae. pp.
Ivi -I- 367.
Reichenow, E. 1949-53. Lehrbuch der Protozoenkunde.
6th ed. 3 vols. Fischer, Jena. pp. viii + 1213.
Richardson, U. F. and S. B. Kendall. 1957. Veterinary
protozoology. 2nd ed. Oliver G Boyd, Edinburgh, pp.
xii + 260.
Wenyon, C. M. 1926. Protozoology. 2 vols. Wood, New
York. pp. xvi + 1563.
Chapter 3
THE
HBmHAGEUATBS
The flagellates belong to the class
Mastigasida. They have 1 or more fla-
gella, and a few have pseudopods as well.
Their nutrition is holophytic, holozoic or
saprozoic. They multiply by longitudinal
binary fission, and many produce cysts.
The class is divided into 2 subclasses,
Phytomastigasina and Zoomastigasina.
The former contains the phytoflagellates,
the great majority of which are free-living
and holophytic. Those of parasitic interest
will be discussed in Chapter 6.
It is convenient for our purposes to
divide the Zoomastigasina into 2 groups,
the hemoflagellates which live in the blood,
lymph and tissues, and the other flagel-
lates which live in the intestine and other
body cavities.
FAMILY TRYPANOSOMATIDAE
The hemoflagellates all belong to the
family Trypanosomatidae. Members of
this family have a leaf-like or sometimes
a rounded body containing one nucleus.
They have a single flagellum which arises
from a basal granule or blepharoplast
posterior to the end of an elongate blind
pouch or reservoir and passes anteriorly,
usually extending beyond the body. A con-
tractile vacuole opens into the reservoir,
but both of these structures can be seen
only with the phase microscope and not
with the ordinary light microscope (Ket-
terer, 1952; Cosgrove and Kessel, 1958;
Clark, 1959). The flagellar axonenie is
composed of 9 peripheral and 2 central
fibrils (Anderson, Saxe and Beams, 1956).
An undulating membrane is present in
some genera; the flagellum lies in its outer
border. Posterior to the basal granule is
a rod-shaped or spherical kinetoplast con-
taining deoxyribonucleic acid. The struc-
ture of the kinetoplast as seen in electron
micrographs has been interpreted in dif-
ferent ways. According to Anderson, Saxe
and Beams (1956), it consists of lamellae
oriented at right angles to its long axis;
- 40
THE HEMOFLAGELLATES
41
Meyer and Queiroga (1960) called it an
apparently lamellar mass located in a
vacuole-Iike space; Hans Ris (unpublished)
said that the lamellae represent sections
of a continuous spiral; Clark and Wallace
(1960) considered the kinetoplast to be a
mitochondrion containing antero-posteriorly
oriented anastomosing fibers. Under the
ordinary light microscope, the kinetoplast
and blepharoplast may appear to be fused.
Mitochondria and volutin granules have also
been seen in electron micrographs.
Members of this family were originally
parasites of the intestinal tract of insects,
and many are still found only in insects.
Others are heteroxenous, spending part of
their life cycle in a vertebrate and part in
an invertebrate host.
In the course of their life cycles, mem-
bers of one genus may pass thru forms
morphologically similar to those of other
genera. These stages are named for the
genera which they resemble. In the tryp-
anosome form, which is perhaps the most
advanced, the kinetoplast and basal granule
are near the posterior end and the undulat-
ing membrane runs the length of the body.
In the crithidial form, the kinetoplast and
basal granule are just anterior to the nu-
cleus and the undulating membrane runs
forward from there. In the leptomonad
form, the kinetoplast and basal granule are
still further forward in the body and there
is no undulating membrane. In the leish-
manial form, the body is rounded and the
flagellum has degenerated into a tiny fibril
which remains inside the body (Fig. 1).
Further information on life cycles and
morphology is given by Noble (1955).
There are several genera in the fam-
ily Trypanosomatidae. Members of the
genus Trypanosoma are heteroxenous and
pass thru leishmanial, leptomonad, cri-
thidial and trypanosome stages in their
life cycle. In some species, only trypan-
osome forms are found in the vertebrate
host, while in other, more primitive ones,
both leishmanial and trypanosome forms
are present.
Members of the genus Blastocrithidia
are monoxenous in arthropods and other
B
D
Fig. 1. Forms of the Trypanosomatidae.
A. Leishmanial form. B. Lep-
tomonad form. C. Crithidial
form. D. Trypanosome form.
(Original)
invertebrates. They pass thru crithidial,
leptomonad and leishmanial stages in
their life cycle. This generic name was
introduced by Laird (1959) for the crithi-
dial species commonly and erroneously
assigned to the genus Crithidia. As both
Laird (1959), Wallace (1943) and Clark
(1959) have shown, the type species of
Crithidia. from mosquitoes, C. fascicu-
lata, is a short, truncate form with a
stiff flagellum emerging from a funnelled
anterior depression, and never has an
undulating membrane. However, the term
crithidial is so deeply Embedded in our
terminology as referring to forms with an
undulating membrane that it is best to re-
tain it.
Members of the genus Crithidia are
monoxenous in arthropods. Despite their
name, they have only a leptomonad stage.
Members of the genus Leptonionas
are monoxenous in invertebrates. They
pass thru leptomonad and leishmanial
stages in their life cycle.
Members of the genus Leishmania
are heteroxenous, passing thru the leish-
manial stage in their vertebrate host and
the leptomonad stage in their invertebrate
host or in culture.
Members of the genus Herpetomonas
are monoxenous in invertebrates. They
pass thru trypanosome, crithidial, lepto-
monad and leishmanial stages in their life
cycle. The trypanosome form in this
genus differs from that of Trypanosoma
42
THE HEMOFLAGEUATES
in that the undulating membrane lies in a
long reservoir which runs the whole length
of the body and opens at the anterior end,
whereas in Trypanosoina the reservoir is
very short and opens laterally near the
posterior end so that the undulating mem-
brane runs along the side of the body
(Clark, 1959).
Members of the genus Phylomonas
are heteroxenous in the latex of plants and
hemipterous insects, passing thru lepto-
monad and leishmanial stages in their life
cycle. They are found in milkweeds and
related plants, and cause the normally
milky sap to become colorless.
The only genera parasitic in domestic
animals and man are Trypanosoma and
Leishmania. Since, however, their
stages in the invertebrate vector are mor-
phologically similar to those of the genera
confined to invertebrates, one cannot be
positive, when he finds an infected inver-
tebrate, whether it is infected with a para-
site of vertebrates or with one of its own.
It is possible, too, that some of the forms
which we now think are confined to inverte-
brates may actually be normal parasites
of some wild vertebrates.
make it practically impossible to raise
livestock in many parts of the tropics
which would otherwise be ideal. Accord-
ing to Hornby (1949), "Trypanosomiasis
is unique among diseases in that it is the
only one which by itself has denied vast
areas of land to all domestic animals
other than poultry. The areas of complete
denial are all in Africa and add up to per-
haps one quarter of the total land surface
of this continent. " Some, but not all, of
the African species are transmitted by
tsetse flies. These flies occupy almost
4 million square miles, an area larger
than the United States, and this whole re-
gion is under the threat of trypanosomosis.
In a recent Hollywood epic on South
African history, there is a scene in which
a line of Boer covered wagons on the Great
Trek to the north is attacked by Zulus.
The warriors pour over the hills, the wag-
ons form a circle with the women and chil-
dren in the center, and the Boer men pre-
pare to fight. It is just like a scene from
the American Wild West, with the Indians
attacking a wagon train of pioneers. But
there is one difference- -the Zulus had no
horses, and made their attack on foot.
The reason? Trypanosomosis.
Genus lITfPANOSOmA Gruby, 1843
Members of this genus occur in all
classes of vertebrates. They are para-
sites of the circulatory system and tissue
fluids, but some, such as T. cruzi, may
actually invade cells. Almost all are
transmitted by blood-sucking invertebrates.
Most species are probably non-pathogenic,
but the remainder more than make up for
their fellows.
Trypanosomosis is one of the world's
most important diseases of livestock and
man. Trypanosomes cause African sleep-
ing sickness and Chagas' disease in man
and a whole series of similar diseases in
domestic animals. They are relatively
unimportant in North America, but they
A large number of species of Trypano-
soma has been named. At one time it
was customary, and still is to some extent,
to give different names to trypanosomes
from different hosts. Many of these names
are still valid, but as we learn more and
more about the host-parasite relations and
epidemiology of the trypanosomes, many
other names have fallen into synonymy.
No attempt will be made here to list all
the synonyms of each species, but the more
important ones will be mentioned.
Trypanosomes are classified in groups
on the basis of their morphology, life cy-
cles and other biological characteristics.
The validity of this grouping is shown by
the fact that their metabolic characteris-
tics, which vary widely, fall into the same
groups.
THE HEMOFLACELLATES 43
The following outline classification of trypanosomes of veterinary and medical im-
portance is based on Hoare (1957, 1959). Sections on metabolism based on von Brand
(1956), Ryley (1956) and von Brand and Tobie (1959), and a section on avian trypanosomes
have been added.
I. PARASITES OF MAMMALS
A. Morphology in Mammal
Kinetoplast not terminal, large. Free flagellum always present. Posterior
end of body pointed. Division in crithidial, leishmanial or trypanosome stages.
Biology
Multiplication in mammal typically discontinuous. Development of metacyclic
trypanosomes in hind gut (posterior station) of vector (in T. raiigeli also in
salivary glands: anterior station). Transmission contaminative thru feces (in
T. rangeli also inoculative). Except for T. cruzi. trypanosomes slightly or not
pathogenic.
Metabolism
Blood forms have high respiratory quotient and low sugar consumption, produc-
ing acetic, succinic and lactic acids aerobically and succinic, lactic, acetic and
pyruvic acids anaerobically. Cyanide markedly inhibits oxygen consumption.
Sulfhydryl antagonists moderately inhibit oxygen consumption. Culture forms
have high respiratory quotient and moderately high sugar consumption, produc-
ing acetic and succinic acids aerobically and succinic and acetic acids anaero-
bically; cyanide markedly inhibits oxygen consumption; sulfhydryl antagonists
moderately to markedly inhibit oxygen consumption. Cytochrome pigments,
cytochrome and succinic oxidase activity are present in T. cruzi and T. lewisi.
1. LEWISI GROUP
a. Mode of reproduction unknown.
T. nielophagium of sheep.
b. Reproduction by binary fission in crithidial stage.
T. theileri of cattle.
c. Reproduction by multiple fission in crithidial stage.
T. lewisi of rats.
T. duttoni of mice.
d. Reproduction by binary fission in leishmanial stage.
T. cruzi of man, dog, opossum, monkeys.
e. Reproduction by multiple fission in leishmanial stage.
T. nabiasi of rabbits.
f. Reproduction by binary fission in trypanosome stage.
T. rangeli of man, dog, opossum, monkeys.
44 THE HEMOFLAGELLATES
B. Morphology in Mammal
Kinetoplast terminal or subterminal. Posterior end of body blunt. Division in
trypanosome stage.
Biology
Multiplication in mammal continuous. Development of metacyclic trypanosomes
in proboscis or salivary glands (anterior station) of vector (except evansi sub-
group). Transmission inoculative, thru bite (except T. equip erduni). Trypano-
somes pathogenic.
1. VIVAX GROUP
Morphology in Mammal
Monomorphic forms. Posterior end of body typically rounded. Free fla-
gellum always present. Kinetoplast large, terminal. Undulating mem-
brane inconspicuous.
Biology
Development in Glossina, in proboscis only. T. vivax is also transmitted
mechanically by tabanids.
Metabolism
Blood forms have high respiratory quotient and high sugar consumption,
producing pyruvic, acetic, lactic acids and glycerol aerobically and glycerol,
pyruvic, lactic, and acetic acids anaerobically. Cyanide does not inhibit
oxygen consumption. Sulfhydryl antagonists markedly inhibit oxygen con-
sumption. Cytochrome and succinic oxidase activity are present.
a. Long forms
T. vivax oi cattle, sheep, goats, antelope.
b. Short forms
T. uniforme of cattle, sheep, goats, antelope.
2. CONGOLENSE GROUP
Morphology in Mammals
Monomorphic or polymorphic forms. Free flagellum absent or present.
Kinetoplast medium, typically marginal.
Biology
Development in Glossina, in midgut and proboscis.
Metabolism
Blood forms have high respiratory quotient and high sugar consumption,
producing acetic acid, succinic acid, glycerol and pyruvic acid aerobically
THE HEMOFLAGELLATES 45
and succinic acid, glycerol, acetic acid and pyruvic acid anaerobically.
Cyanide and sulfhydryl antagonists moderately inhibit oxygen consumption.
Cytochrome pigments are absent but cytochrome and succinic oxidase ac-
tivity are present. Culture forms of T. co)igoleuse have R. Q. of 0.9,
produce pyruvate, acetate and smaller amounts of lactate, succinate and
glycerol aerobically, and pyruvate, acetate and succinate with small amounts
of glycerol and no carbon dioxide anaerobically. Cyanide and sulfhydryl
antagonists (iodoacetate and sodium arsenite) inhibit oxygen consumption,
but Krebs cycle inhibitors (fluoro acetate and malonate) do so only slightly.
a. Monomorphic (free flagellum absent or short, undulating membrane in-
conspicuous).
(1) Short forms (means 12.2-14.4 (n).
T. congolense of cattle, equids, swine, sheep, goat, dog.
(2) Long forms (means 15.3-17.6 i^).
T. dimorphon of horse, cattle, sheep, goat, pig, dog.
b. Polymorphic (short forms without free flagellum, and long forms, of
which some are stout, with conspicuous undulating membrane and some
are slender with inconspicuous undulating membrane; free flagellum
absent or present).
T. si))iiae of swine, camels, cattle, horse, warthog.
3. BRUCEI GROUP
Morphology in Mammal
Monomorphic or polymorphic forms. Free flagellum present or absent.
Kinetoplast small, subterminal (absent in T. equinutn). Undulating mem-
brane conspicuous.
Biology
Development in Glossina, in midgut and salivary glands (except evansi sub-
group).
Metabolism
Blood forms have very low respiratory quotient and very high sugar con-
sumption, producing pyruvic acid and sometimes glycerol aerobically and
pyruvic acid and glycerol anaerobically. Cyanide does not inhibit oxygen
consumption. Sulfhydryl antagonists markedly inhibit oxygen consumption.
Culture forms have high respiratory quotient and moderately high sugar
consumption, producing acetic, succinic, pyruvic and lactic acids aero-
bically. Cyanide moderately inhibits oxygen consumption. Sulfhydryl
antagonists markedly inhibit oxygen consumption. Cytochrome pigments
have not been found in T. rhodesiense or T. equiperdum , but cytochrome
and succinic oxidase activity are present in T. rhodesiense.
a. Monomorphic (stout forms with short free flagellum).
(1) SUIS SUBGROUP
T. suis of swine.
46
THE HEMOFIACELLATES
b. Polymorphic (slender, intermediate and stumpy forms).
(1) BRUCEI SUBGROUP
Polymorphism constant (stumpy forms always present).
T. brucei of all domestic animals, antelope.
T. rhodesiense of man, bushbuck and probably antelope.
T. gambiense of man.
(2) EVANSI SUBGROUP
Polymorphism inconstant (stumpy forms rare or sporadic); no
cyclic development in vector host.
(a) Transmission mechanical by insects.
T. efflnsi of cattle, camels, equids, dogs, etc.
T. equinum of equids.
(b) Transmission by contact (coitus) from mammal to mammal.
T. equiperdum of equids.
II. PARASITES OF BIRDS
Very polymorphic, sometimes attaining great size. Relatively easy to cultivate.
Cyclic development probably in biting arthropods.
AVIUM GROUP
T. avium of various birds.
T. calmettei of chickens.
T. gallinarum of chickens.
T. hannai of pigeons .
T. numidae of guinea fowl.
Fig. 2. Species of Trypanosoma. A. T. llwilcri. B. T. cnizi. C. T. coiigoleiise.
D. T. vivax. E. T. equiperduvi . F. T. bnicei. X 2800. (Original)
THE HEMOFLAGELLATES
47
In the discussion which follows, each
trypanosome species is taken up separ-
ately, but special attention is paid to
T. briicei and T. criizi as representatives
of different types.
TRYPANOSOMA BRUCEI
PLIMMER AND BRADFORD, 1899
Synonym : T. pecaudi.
Disease : Trypanosomosis, nagana.
Hosts : Horse, mule, donkey, ox,
zebu, sheep, goat, camel, pig, dog, and
many wild game animals. Antelopes are
the natural hosts of T. brncei and serve
as reservoirs of infection for domestic
animals. Experimental attempts to infect
man have failed (Ashcroft, 1959a).
Location : Blood stream, lymph,
cerebrospinal fluid.
Geographic Distribution : Widely dis-
tributed in tropical Africa between 15^ N
and 25° S latitude, coinciding with the dis-
tribution of its vector, the tsetse fly.
Prevalence : T. brucei is one of the
commonest and most important parasites
of domestic animals in Africa. It has pre-
vented the raising of livestock in vast
areas.
Morphology : Polymorphic, with
slender, intermediate and stumpy forms.
Undulating membrane conspicuous. Ki-
netoplast small, subterminal. Slender
forms average 29 /i in length but range up
to 42 (i; posterior end usually drawn out,
tapering almost to a point, with kineto-
plast up to 4jj, from posterior end, with a
long, free flagellum. Stumpy forms stout,
averaging 18 ju in length with a range of
12 to 26 /i; posterior end broad, obtusely
rounded, with kinetoplast almost terminal;
free flagellum typically absent. Interme-
diate forms average 23 jj. in length; body
of medium thickness, with blunt posterior
end; moderately long free flagellum al-
ways present. A fourth form with a
posterior nucleus often appears in labor-
atory animals.
Life Cycle : When it is first intro-
duced into the body, T. bnicei multiplies
in the blood and lymph by longitudinal
binary fission in the trypanosome stage,
being particularly common in the lymph
glands. Later the trypanosomes pass into
the cerebrospinal fluid and multiply here
and between the cells of the brain. Leish-
manial forms have also been reported
from the heart muscle of infected monkeys
(Noble, 1955).
The vector is a tsetse fly of the genus
Glossina. T. brucei is generally trans-
mitted by members of the iiiorsifans group
of this genus, i.e., G. uiorsilaiis, G.
sivynnertoni and G. pallidipes. Both males
and females feed on blood and act as vec-
tors. Only a small percentage of the tsetse
flies which feed on an infected animal be-
come infected, most being apparently re-
sistant. In experimental studies, 10% or
less become infected, while less than 1%
of wild flies caught in endemic areas are
infected.
When ingested by a tsetse fly, T. bru-
cei localizes in the posterior part of the
midgut and multiplies in the trypanosome
form for about 10 days. At first the try-
panosomes are relatively broad, up to
35/i long, with a kinetoplast about halfway
between the posterior end of the body and
the nucleus, with a less pronounced undu-
lating membrane than the blood form, and
with a free flagellum. On the 10th to 12th
day, slender forms appear and migrate
slowly toward the proventriculus, where
they are found on the 12th to 20th days.
They then migrate forward into the esopha-
gus and pharynx, thence into the hypopharynx
and finally into the salivary glands. Here
they attach themselves to the walls by their
flagella or lie free in the lumen, and turn
into the crithidial form. These multiply
further and then transform into the meta-
cyclic trypanosome form, which is small,
stumpy, and may or may not have a short
free flagellum.
The metacyclic trypanosomes are the
infective forms. They are injected into the
blood with the saliva when the fly bites; up
to several thousand may be introduced by
the bite. The whole life cycle in the tsetse
48
THF. HIMOFLACELLATES
fly takes 15 to 35 days, and the flies are
not infective until the metacyclic trypano-
somes have appeared in the salivary glands.
This type of development, in which the
trypanosomes are found in the anterior
part of the vector and are introduced by
its bite, is known as development in the
anterior station to contrast it with devel-
opment in the posterior station or hindgut.
In the latter, exemplified by the lewisi
group, infection is by contamination with
feces.
In addition to the cyclical transmis-
sion described above, T. briicei may oc-
casionally be transmitted mechanically by
tsetse flies or other biting flies. In this
case, the trypanosomes remain alive in
the proboscis for a short time and are
transferred to a new host if the fly bites it
soon enough after having bitten an infected
one.
mrtacjclic
crithUiat*
Fig. 3. Simplified life cycle of Trypano-
sotna briicci. (From Noble, 1955)
Pathogenesis : The signs and patho-
genesis of the trypanosomoses of domestic
animals are more or less similar. Dif-
ferent hosts are affected to different de-
grees. Horses, mules and donkeys are
very susceptible to T. briicei. Affected
animals have a remittent fever, edema-
tous swellings of the lower abdomen, gen-
italia and legs, a watery discharge from
the eyes and nose, and anemia. The ani-
mals become emaciated altho their appe-
tite is good. Muscular atrophy sets in,
and eventually incoordination and lumbar
paralysis develop, followed by death. The
course of the disease is 15 days to 4
months, and untreated animals rarely re-
cover.
The disease in sheep, goats, camels
and dogs is also severe. The signs are
much the same as in horses. In the dog,
fever may appear as shortly as five days
after infection, and the parasites often
cause conjunctivitis, keratitis and blind-
ness.
The disease is usually more chronic
in cattle. There is remittent fever with
swelling of the brisket, anemia, gradual
emaciation, and discharge from the eyes
and nose. The animals may survive for
several months. Swine are more resistant
than cattle and usually recover.
Following infection, the trypanosomes
appear first in the blood and lymph, caus-
ing fever, edema, anemia, etc. and only
later on are they able to invade the central
nervous system, causing incoordination,
paralysis and meningo-encephalitis.
The exact way in which they act to kill
their victims is unknown, altho several
theories have been advanced. It is known
that they have a high glucose metabolism,
and one theory was that they rob the body
of glucose so that death is due to hypo-
glycemia. In experimental animals, life
can be prolonged by feeding glucose and
shortened by injecting insulin. This
theory, however, has been discredited.
It is known that the serum potassium
level increases in trypanosomosis, and
another theory was that the effects are due
to the high potassium level. However, the
latter is a result of the disease and not a
THE HEMOFLAGELLATES
49
cause. It is due to the destruction of red
cells with consequent release of potassium
into the plasma, and the observed levels
are not too harmful.
Epidemiology : The epidemiology of
the diseases caused by T. briicei and other
tsetse-borne trypanosomes depends upon
the bionomics and distribution of their
vectors. This is such a vast subject that
no attempt will be made to cover it here.
In general, tsetse flies occupy almost 4
million square miles of Africa. They
occur in woodlands, bush or forested areas
where there is ample rainfall and where
the mean annual temperature is above
about 70° F. Not all species are good vec-
tors, and trypanosomosis does not occur
every place that tsetse flies do. For fur-
ther information on tsetse flies and the
epidemiology of trypanosomosis, see
Buxton (1948, 1955, 1955a), Hornby (1949,
1952), Davey (1958) and Ashcroft (1959).
Diagnosis : In the acute or early stage
of the disease, trypanosomes can be found
in the peripheral blood. Thick blood
smears are preferable to thin ones. The
protozoa are found even more often in the
lymph glands. They can be detected in
fresh or stained smears of fluid obtained
by puncture of the glands. In the later
stages of the disease, trypanosomes can
be found in the cerebrospinal fluid. Lab-
oratory animals such as the rat can also
be inoculated. The complement fixation
test can also be used; it is not specific
for T. brucei infections, but also reacts
in a number of other trypanosomoses.
Cultivation : Trypanosomes can be
successfully cultivated in a number of
media. A common one is NNN medium,
which is essentially a 25% blood agar
slant. Another medium is that of Weinman
(1946), which contains beef extract, pep-
tone, washed erythrocytes and plasma.
Still another is that of Tobie, von Brand
and Mehlman (1950). A discussion of
problems of cultivation and diagnosis is
given by Weinman (1953).
Trypanosomes can also be cultivated
in developing chick embryos or in tissue
culture. See Pipkin (1960) for a review
of this subject.
Treatment : Many different drugs have
been used in the treatment of trypanoso-
mosis. Indeed, the first synthetic organic
compound of known composition ever used
to cure an experimental disease was try-
pan red, which was developed by Ehrlich
and Shiga (1904). Since that time thousands
of drugs have been found to show some ac-
tivity, but the number of satisfactory ones
is very small. The chemotherapy of try-
panosomiasis has been reviewed by Findlay
(1950), Ing (1953), Browning (1954), Good-
win and RoUo (1955), Davey (1957), and
others.
Altho much of the earlier work on
chemotherapy was done on members of
ihebyncei subgroup, most of that since
World War n on trypanosomosis of live-
stock has dealt with the vivax and coiigo-
lense groups.
Antrycide methyl sulfate is perhaps
the drug of choice for T. brucei in horses.
It is injected subcutaneously at the rate
of 5 mg/kg body weight; two treatments
may be given 4 days apart. Antrycide is
also effective against T. brucei in dogs,
cattle and other animals.
Suramin (Germanin, Naganol, Antry-
pol, Moranyl, Bayer 205, Fourneau 309,
etc. ) has been used for many years. A
single dose of 4 g per 1000 lb body weight
is given intravenously to horses, but it
may be toxic in some animals. In dogs,
5 mg/kg is given intravenously.
The diamidines, pentamidine and
stilbamidine, have been used extensively
against T. ga)iibie)2se and T. rhodesiense
in man, but have been used very little in
veterinary medicine. Another diamidine,
Berenil, appears promising against T.
brucei, but needs more study.
Control: Preventive measures
against trypanosomosis include measures
directed against the parasite, measures
directed against the intermediate hosts,
livestock management, elimination of
reservoir hosts, and avoidance of acci-
dental, mechanical contamination.
Measures directed against the para-
site include continuous survey and treat-
so
THE HEMOFIAGEXLATES
ment or slaughter of all affected animals
and periodic mass prophylactic treatment
of all animals. The latter is discussed in
the section on treatment of T. congolense.
Fly traps and fly repellents have been
used without much success in attempting
to control tsetse flies. Elimination of
breeding places has been practiced on a
wide scale in many areas. Since the tsetse
flies breed under brush along streams or
in other localities, such measures consist
essentially of brush removal. Two meth-
ods are used:
Eradicative clearing aims at eradica-
tion of tsetse flies thruout an area. All
the species of trees and shrubs under which
the flies survive thru the dry season are
removed. When this is done thoroughly
over a large area, the flies disappear com-
pletely.
Protective clearing is more limited.
It is designed to break the contacts between
tsetse flies and domestic animals and man
at the places where transmission is taking
place. Fly-free belts wide enough so that
the flies cannot cross them are established.
In addition, inspection stations known as
deflying houses may be set up on traffic
routes to remove flies which may be car-
ried across on vehicles or animals.
Bush clearing can be quite successful.
The incidence of trypanosomosis was re-
duced by 92% between 1938 and 1944 in the
Kamba area of Africa by this means
(Morris, 1946). However, it is expensive,
requires a large amount of labor, and the
initial clearing must be followed up faith-
fully as new growth occurs.
A potentially much more satisfactory
control measure is the spraying of insec-
ticides on fly breeding places by means of
aircraft. DDT and benzene hexachloride
are highly effective for this purpose.
Glossina pallidipes was eradicated from
Zululand by airplane spraying with these
insecticides at a total cost of 2. 5 million
pounds, or slightly less than 2 shillings
per acre (DuToit, 1959).
Since tsetse flies bite only in the day-
time, night grazing has been practiced by
African natives to avoid their bites. The
animals are held in a protected corral
during the day.
Cattle can be sprayed with DDT or
another insecticide in order to kill any
tsetse flies which light on them.
The elimination of reservoir hosts,
e. g. , wild game in Africa, has been ad-
vocated and practiced in some regions
despite the protests of many people inter-
ested in game preservation. The Trypan-
osomiasis Committee of Southern Rhodesia
(1946) has described and defended the prac-
tice. It claims that if a zone 10 miles
wide with its ends in fly-free country is
fenced off and all the game within it is
killed, Glossina morsitans will disappear
in less than 10 years. The fences can
then be removed and the game allowed to
return into the area.
Since trypanosomes can be transmitted
mechanically by inoculation of infected
blood or lymph, there is danger of its
transmission by the use of contaminated
instruments in bleeding, castrating, etc.
A great deal has been written on try-
panosomosis control. For further infor-
mation, see Hornby (1949, 1952), Morris
(1946), Buxton (1948, 1955) and the pro-
ceedings of the meetings of the International
Scientific Committee for Trypanosomiasis,
which held its sixth meeting in 1956.
TRYPANOSOMA GAMBIENSE
DUTTON, 1902
TR Y'PANOSOMA RHODESIENSE
STEPHENS AND FANTHAM, 1910
These two species cause African
sleeping sickness in man. T. rliodesiense
is thought to occur also in antelopes
(Hoare, 1955) and was isolated once from
a bushbuck (Heisch, McMahon and Manson-
Bahr, 1958). T. ganibiense does not occur
in wild game. Neither occurs in domestic
animals. They are morphologically indis-
guishable from each other and'from T.
brucei, and for this reason some people
prefer to consider all three as subspecies
of T. brucei. However, the biological and
THE HEMOFLAGELLATES
51
epidemiologic differences between them
make it more convenient to retain separ-
ate names. Whatever the names used, it
is clear that these species arose from
strains of T. brucei which became adapted
to man.
Human trypanosomosis occurs in
tropical Africa, roughly between 15° N
and 15° S latitude. T. yliodesiense, which
causes an acute form of the disease,
occurs in Rhodesia, Tanganyika, Nyasa-
land, Bechuanaland and Portuguese East
Africa, while T. gambiense, which causes
a chronic form of the disease, occurs in
a large part of the remainder of the area.
Kunert (1953) prepared a map of the dis-
tribution of human sleeping sickness in
Africa together with climatologic and
other information. Ashcroft (1959a) and
Morris (1960) reviewed its epidemiology.
In general, T. gambiense causes a
"domesticated" type of disease, trans-
mitted by tsetse flies from man to man in
regions of human habitation, while T.
rhodesiense causes more of a woodland
disease and people become infected with
it away from their village areas.
Altho it is certain that some wild ani-
mals must serve as reservoirs of Trypano-
soma rhodesiense, it has been isolated
from them only once. Heisch, McMahon
and Manson-Bahr (1958) isolated it from
a bushbuck ( Tragelaphus scriptus) in
Kenya by inoculation of a human volunteer.
Epidemiologic evidence for a wild
animal reservoir is exemplified by the ob-
servation that every year fishermen and
honey hunters become infected with T.
rhodesiense near the Ugalla River in the
Western Province of Tanganyika, yet this
is an uninhabited region, and no people
are there at all during the 6-month rainy
season. The Ugalla River is part of the
Malagarasi river system of the Western
Province. It runs thru a sparsely popu-
lated, woodland region inhabited by many
wild animals and infested with Glossina
morsitans . Jackson (1955) described 25
cases of sleeping sickness in fly-boys
stationed in remote outposts in this area
between 1935 and 1939, and concluded
that there was strong evidence that game
was acting as a reservoir. Over half the
cases of T. rhodesiense infection diag-
nosed in Africa in 1953, 1954 and 1955
were contracted in this region (Ashcroft,
1958); 2069 cases were reported in the
Western Province in these years (Apted,
1955).
The only way to be positive that a
brucei-Hyie strain of trypanosome isolated
from wild animals is actually T. rhodesi-
ense is to inoculate human volunteers with
it, and very few such attempts have been
made. In one of the latest of these, Ash-
croft (1958) inoculated a strain which he
had isolated from a Coke's hartebeest
{Alcelaphus cokei) in Tanganyika into 2
African volunteers, but no infection re-
sulted and he concluded that the organism
was T. brucei.
The life cycles of the human trypano-
somes are the same as that of T. brucei.
The vectors are species of tsetse flies of
the genus Glossina. The chief vectors of
T. gambiense are the riverine tsetse flies,
G. palpalis and G. tachinoides, while
those of T. rhodesiense are the game
tsetse flies, G. morsitans, G. swynner-
toni and G. pallidipes.
Human trypanosomosis is similar to
nagana in its manifestations. For further
information, any human parasitology text
may be consulted.
TRYPANOSOMA EVANSI
(STEEL, 1885) BALBIANI, 1888
Synonyms : T. soudanense, T.
elepfiantis, T. annamense, T. cameli,
T. marocanum, T. ninae kohl-yakimov,
T. aegyptum, T. hippicum, T. venezue-
lense.
Disease : Trypanosomosis due to
T. evansi has been given different names
in different localities. The most widely
used name, surra, is applied to the dis-
ease in all hosts. The disease in camels
is called el debab in Algeria and mbori in
Sudan. That in horses is called murrina
in Panama and derrengadera in Venezuela.
52
THE HEMOFLAGELLATES
Hosts : Camels, horse, donkey, ox,
zebu, goat, pig, dog, water buffalo, ele-
phants, capybara, tapir, and (in Mauri-
tius) deer.
Location : Blood, lymph.
Geographic Distribution : Northern
Africa (north of 15 N latitude in the west
and central part of the continent, but ex-
tending almost to the equator in the east),
Asia Minor, U.S.S.R. from the Volga
River east into Middle Asia, India, Burma,
Malaya, Indochina, parts of southern
China, Indonesia, Philippines, Central
America, South America. Hoare (1956)
has shown how the original distribution of
T. evansi coincided with that of the camel.
In Africa, its southern boundary coincides
roughly with the northern boundary of
tsetse fly distribution. It now extends far
to the east of the camel's range in the Old
World. It is often associated with arid
deserts and semi-arid steppes, but may
occur in other types of climate as well.
In India, it is most common in the Punjab,
which is mostly in the northwestern dry
region (Basu, 1945; Basu, Menon and Sen
Gupta, 1952). It was probably introduced
into the New World in infected horses by
the Spanish conquerors during the 16th
century.
Prevalence : T. evansi is an impor-
tant cause of disease over a large part of
its range.
Morphology : The morphology of the
Old World strains of T. evansi has been
studied intensively by Hoare (1956). The
mean length of different host and geo-
graphic strains varies considerably. How-
ever, the typical forms are 15 to 34 ji
long, with a mean of 24 |i. Most are slen-
der or intermediate in shape, but stumpy
forms occur sporadically. All forms are
morphologically indistinguishable from
the corresponding ones of T. briicei.
Strains which lack a kinetoplast have oc-
casionally arisen spontaneously or can be
produced by treatment with certain dyes
(Hoare, 1954).
Life Cycle : T. evansi is transmitted
mechanically by biting flies. No cyclic
development takes place in the vectors,
the trypanosomes remaining in the pro-
boscis. The usual vectors are horseflies
of the genus Tabanus, but Stomoxys,
Haematopola and Lyperosia can also trans-
mit it. In Central and South America, the
vampire bat is a vector, the disease in
this case being known as murrina.
Pathogenesis : Surra is nearly always
fatal in horses in the absence of treatment;
death occurs in a week to six months. The
disease is also severe in dogs and elephants.
It is less severe in cattle and water buffalo.
Cattle may carry the parasites without
showing signs of disease for months. How-
ever, occasional outbreaks of acute disease
occur in cattle and water buffalo. Surra in
camels is similar to the disease in horses
but more chronic. In dogs, T. evansi
causes a chronic disease with a high mor-
tality rate; untreated dogs usually die in 1
to 2 months (Gomez Rodriguez, 1956).
The signs of surra include intermittent
fever, urticaria, anemia, edema of the legs
and lower parts of the body, loss of hair,
progressive weakness, loss of condition
and inappetence. Conjunctivitis may occur,
and abortion is common in camels.
The lesions include splenomegaly, en-
largement of the lymph glands and kidneys,
leucocytic infiltration of the liver paren-
chyma, and petechial hemorrhages and
parenchymatous inflammation of the kidneys.
Diagnosis: Same as for T. brucei.
Cultivation : Same as for T. brucei.
Treatment : Treatment of T. evansi
is similar to that of T. brucei. Antrycide
methyl sulfate is less toxic than suramin
for horses; a single subcutaneous dose of
5 mg/kg or even less is effective. A dose
of 3 mg/kg has given good results in cattle.
A single injection of 2 g is effective in
camels.
The dose of suramin for horses is 4 g
per 1000 lb body weight intravenously.
Camels tolerate suramin well, and a single
intravenous injection of 4 to 5 g is effective
against surra in these animals. Tartar
THE HEMOFLAGELLATES
53
emetic, which has been largely superseded
in other animals, is still used in treating
surra in the camel; a single intravenous
injection of 200 ml of a 1% solution is
given. This drug is also widely used in
cattle in India because of its cheapness.
Control : Essentially the same meas-
ures used in the control of T. brncei. ex-
cept of course those directed against the
tsetse fly, can be used in the control of
T. evansi infections. Control of horse-
flies and other biting flies is important.
Remarks : Hoare (1956, 1957) has
discussed the phytogeny of T. evansi.
This species undoubtedly arose from T.
briicei, being introduced into camels when
they entered the tsetse fly belt and then
becoming adapted to mechanical transmis-
sion by tabanids.
TRYPANOSOMA EQUINUM
VOCES, 1901
This species occurs in South America,
where it causes a disease known as mal de
Caderas in horses. The disease is similar
to surra. T. equimim differs morpholog-
ically from T. evansi only in lacking a
kinetoplast. However, strains of T. evansi
without a kinetoplast have appeared in the
laboratory, and T. eqidnuni undoubtedly
originated in this way.
T. equimim is transmitted mechan-
ically by tabanids. Both antrycide methyl
sulfate and suramin can be used in treat-
ing it. The former is less toxic. A single
subcutaneous dose of 5 mg/kg or less of
antrycide methyl sulfate or a single intra-
venous dose of 4 g per 1000 lb body weight
of suramin can be used. Control measures
are the same as for T. evansi,
TRYPANOSOMA EQUIPERDUM
DOFLEIN, 1901
'I'his species is morphologically indis-
tinguishable from T. evansi. It causes a
disease of horses and asses known as
dourine. This is a venereal disease,
transmitted by coitus. Dourine is similar
to nagana, but runs a more chronic course
of 6 months to 2 years. The incubation
period is 2 to 12 weeks.
The first sign of the disease is edema
of the genitalia and often of the dependent
parts of the body. There is slight fever,
inappetence, and a mucous discharge from
the urethra and vagina. Circumscribed
areas of the mucosa of the vulva or penis
may become depigmented.
The second stage of the disease,
characterized by urticaria, appears after
4 to 6 weeks. Circular, sharply circum-
scribed, urticarial plaques about 3 cm in
diameter arise on the sides of the body,
remain 3 or 4 days, and then disappear.
They may reappear later. Muscular pa-
ralysis later ensues. The muscles of the
nostrils and neck are affected first, but
the paralysis spreads to the hind limbs
and finally to the rest of the body. Inco-
ordination is seen first, and is followed
by complete paralysis. Dourine is usually
fatal unless treated, altho mild strains of
the parasite may occur in some regions.
T. equiperdum is found in Asia, North
and South Africa, southern and eastern
Europe and the U. S. S. R. It was once
common in western Europe and North
America, but has been eradicated from
these regions. The last place where it
was known to occur in North America, the
Papago Indian Reservation in Arizona, was
released from quarantine in 1949.
Dourine can be diagnosed by finding
the parasites in smears of fluid expressed
from the urticarial swellings, lymph, the
mucous membranes of the genitalia or
blood. The signs of the typical disease are
characteristic enough to permit diagnosis
in endemic areas. Inoculation of mice,
rats, rabbits or dogs may also be prac-
ticed, but it is often difficult to demonstrate
the parasites on the first passage. The
complement fixation test is invaluable in
detecting early or latent infections, and it
was only by its use that dourine was erad-
icated from North America. All horses
imported into the United States must be
tested for dourine before they are ad-
mitted.
S4
THE HEMOFLAGELLATES
To treat dourine in horses, a single
subcutaneous dose of 5 mg/kg antrycide
methyl sulfate or two intravenous injec-
tions of 2 g suramin each 15 days apart
can be used.
TRYPANOSOMA SUIS
OCHMANN, 1905
This species, which was once thought
to be the same as T. siniiae, was redis-
covered in the Belgian Congo by Peel and
Chardome (1954). It is a member of the
brute i group, but differs from the others
in being monomorphic, having only stout
forms 14 to 19 ji long, with a short, free
flagellum. The kinetoplast is very small
and marginal.
T. si</s occurs in pigs, causing a
chronic infection in adults and a more
acute disease with death in less than 2
months in young pigs. Peel and Chardome
attempted without success to transmit
T. suis to the goat, sheep, dog, white rat,
guinea pig, Cricetomys gambianus , Den-
drohyrax, chimpanzee, cat, rabbit, cattle,
monkey and ass. It is transmitted by the
tsetse fly, Glossina brevipalpis, in which
it develops first in the intestine and pro-
ventriculus and then in the salivary
glands. Metacyclic infectious trypano-
somes appear in the hypopharynx on the
28th day.
TR YPANOSOMA
BRODEN, 1904
CONGOLENSE
Synonyms : Trypanosoma nanum,
T. confiisiun, T. pecorimi, T. somaliense,
T. cellu, T. frobeniusi, T. monlgomeryi,
T. ruandae.
Disease : The South African disease
of cattle known as nagana is ordinarily
caused by T. cotigolense. Other names
which have been given to the disease are
paranagana, Gambia fever, ghindi and
gobial.
Hosts : Cattle, equids, sheep, goats,
camels, dogs and, to a lesser extent,
swine. Antelopes, giraffes, zebras.
elephants and wart hogs are also infected
and act as reservoirs.
Location: This species develops
almost exclusively in the blood. It does
not invade the lymph or central nervous
system.
Geographic Distribution : Widely
distributed in tropical Africa between 15°
N and 25" S latitude, coinciding with the
distribution of the tsetse flies which act
ad its vectors.
Prevalence : T. co>igolense is the
commonest and most important trypano-
some of cattle in tropical Africa.
Morphology : This species is small,
being 8 to 20|:i long; the mean lengths of
different populations range from 12.2 to
14.4|i (Hoare, 1959). It lacks a free
flagellum or has a short one, has an in-
conspicuous undulating membrane, and a
medium-sized kinetoplast which lies some
distance from the posterior end and is
typically marginal.
Life Cycle : The vectors of T. con-
golense are various species of Glossina,
including G. morsitans, G. palpalis, G.
longipalpis, G. pallidipes and G. austeni.
After the trypanosomes have been ingested
by the tsetse flies, they develop in the
midgut as long trypanosomes without a
free flagellum. They then migrate to the
proventriculus and thence to the proboscis,
where they assume a crithidial form with-
out a free flagellum. These are attached
at first to the wall of the proboscis and
multiply for a time. Later they pass into
the hypopharynx, where they turn into
metacyclic, infective trypanosomes sim-
ilar in appearance to the blood forms.
These are injected into the blood stream
when the flies bite.
T. congolense can also be transmitted
mechanically by other biting flies in tsetse-
free areas.
Pathogenesis : Many strains which
differ markedly in virulence and also in
antigenic properties are united under T.
congolense (Fiennes, 1950). In cattle.
THE HEMOFLAGELLATES
55
the parasite may cause an acute, fatal
disease resulting in death in about 10 weeks,
or a chronic condition with recovery in
about a year, or a mild, almost asympto-
matic condition (Hornby, 1949). The dis-
ease is similar in sheep, goats, camels
and horses. Swine are more resistant.
The signs of trypanosomosis due to
this species are similar to those caused
by other trypanosomes, except that the
central nervous system is not affected.
Fiennes (1953) described the lesions
observed in untreated T. coiigolense in-
fections of cattle. The lymph nodes are
edematous, the liver is congested, the
marrow of the long bones is largely des-
troyed, and there are hemorrhages in the
heart muscle and renal medulla. In cattle
treated with antrycide or dimidium, the
lesions are more chronic. The spleen is
enlarged, the liver is swollen and some-
times fibrous, the lymph nodes are hyper-
trophied, edematous and somewhat fibro-
tic, the kidneys show chronic degenera-
tion, the hemolymph tissue is hyperplas-
tic, and the marrow of the long bones is
largely destroyed.
Fiennes (1950), described a cryptic
form of trypanosomiasis in cattle, usually
following drug prophylaxis or unsuccessful
drug therapy, in which severe lesions
occur in the heart. These lesions were
associated with degenerate or lysed try-
panosomes, but some normal forms were
also present. This is probably similar to
the condition described by Curasson (1943)
and Reichenow (1952), in which masses of
degenerating trypanosomes plug the capil-
laries.
Diagnosis : This disease can be diag-
nosed by detection of the parasites in blood
smears. Repeated examinations may be
necessary in chronic cases. Inoculation
of rats or guinea pigs may give positive
results when blood examinations are neg-
ative.
Cultivation: Same as for T. brucei.
T. vivax until after World War II. Several
drugs have been introduced since then, and
active research is still going on. The gen-
eral pattern has been similar. Each new
drug was introduced with glowing accounts
of its effectiveness, later its limitations
were discovered, and it was either dropped
or assumed its place in the trypanocidal
armamentarium while the search passed
on to a new field. The review articles
listed under treatment of T. brucei may be
consulted for further information, but
progress is being made so rapidly that both
they and some of the recommendations be-
low may soon be out of date.
Ethidium is the most effective and
safest of several phenanthridinium deriv-
atives which have been used. Cattle are
treated by intramuscular injection of
1 mg/kg ethidium bromide or chloride.
The tiypanosomes disappear from the
blood within 2 days. The earlier phenan-
thridinium compounds caused photosen-
sitization and liver damage, but Ethidium
apparently does not.
Antrycide methyl sulfate is also effec-
tive against T. coiigolense. Cattle are
treated with a single subcutaneous injection
of 4. 5 to 5.0 mg/kg, while 3 to 5 mg/kg is
used in horses and dogs. Antrycide causes
a painful local reaction when given subcu-
taneously, and may sometimes also cause
increased salivation, sweating and tremors.
In addition, there are a number of reports
of drug-fastness developing to antrycide.
The diamidine, Berenil, has been used
with success in preliminary experiments,
but has yet to be completely evaluated. The
dosage for cattle is about 2 mg/kg subcu-
taneously or intramuscularly.
The above recommendations deal with
curative treatment. A great deal of work
has also been done on chemical prophylaxis
of trypanosomosis. The idea here is to
inject drugs in relatively insoluble form so
that they will be released slowly over a
long period of time and will protect animals
for months.
Treatment : No effective treatment
was known for either T. coiigolense or
Antrycide chloride, which is much less
soluble than antrycide methyl sulfate, is
56
THE HEMOFIAGELLATES
used for prophylaxis. In actual use, a
mixture of 3 parts of the methyl sulfate
and 4 of the chloride, known as Antrycide
prosalt, is employed. The methyl sulfate
eliminates any trypanosomes that might
be present at the time of treatment, and
the chloride provides the prophylaxis. The
prosalt is injected subcutaneously in
amount sufficient to give 5 mg/kg of the
methyl sulfate. In areas where there are
relatively few tsetse flies (defined as an
apparent density (AD) of less than 10 flies
caught per 10,000 yards of patrol, using a
standardized catching technic), treatment
every 2 months is effective, but under
heavy challenge (defined as an AD of 40 or
more) this protection may break down.
Prothidium (R.D. 2801), which con-
tains the pyrimidine moiety of Antrycide
linked to a phenanthridinium instead of a
quinoline nucleus, was introduced in 1956
as a prophylactic agent. According to
Robson and Cawdery (1958), it is better
than Antcycide prosalt, a single subcutan-
eous dose of 4 mg/kg protecting zebus
naturally exposed to T. congolense, T.
vivax and T. brucei injections for 110 or
more days.
Complexes or salts of suramin with
Ethidium, Antrycide and other trypano-
cides were introduced by Williamson and
Desowitz (1956) for prophylactic use.
They obtained more than 7 months' pro-
tection against T. congolense and T. vivax
by subcutaneous injection of Ethidium sur-
aminate. However, Robson and Cawdery
(1958) considered that the local reactions
which it produced were so severe as to
preclude its use even tho at 5 mg/kg it
protected naturally exposed zebus for 113
days or more. Further work with such
complexes may be rewai'ding.
Pentamidine has been used extensively
in prophylaxis of human trypanosomosis,
but is not used in domestic animals.
Whenever a drug is used continuously
for prophylaxis, there is danger that drug-
fast strains of parasites may appear be-
cause the blood level becomes so low that
relatively resistant individuals can survive.
This has happened particularly with Antry-
cide and also with the phenanthridinium
derivatives. Unfortunately, too, strains
which have become resistant to Antrycide
are also resistant to phenanthridinium
compounds. No drug resistance has ap-
peared so far to Berenil.
Control: Same as for T. brucei.
TRYPANOSOMA DIMORPHON
LAVERAN AND MESNIL, 1904
This species was once thought to be a
synonym of T. congolense, but Hoare
(1959) restudied Laveran and Mesnil's
original slides, measuring 1200 individuals
and analyzing the data statistically, and
showed that it differs in length. T. di-
morphon is 11 to 24 jj, long with a mean of
16. 2 (i; the means of different populations
ranged from 15. 3 to 17. 6|n . Despite its
name, Hoare (1959) found that it is actually
monomorphic. It is slender, without a
free flagellum, and its undulating membrane
is not pronounced. The posterior end is
rounded (chiefly in the shorter forms) or
pointed (chiefly in the longer forms). The
nucleus is in the middle or posterior part
of the body. The kinetoplast is fairly large
and typically subterminal and marginal.
T. dimorphon occurs in Gambia, French
Guinea, Ivory Coast, Belgian Congo, Sudan,
Somalia, Southern Rhodesia, Portuguese
East Africa, Zululand and possibly Nigeria,
and has been found in the horse, sheep,
goat, cattle, pig and dog. It is transmitted
by tsetse flies in the same way as T. con-
golense.
TRYPANOSOMA SIMLAE
BRUCE ET AL. , 1912
Synonyms : T. ignotum, T. rodhaini,
T. porci.
T. simiae was first found in a monkey,
but its natural reservoir host is the wart-
hog {Phacophoerus aethiopiciis). It is
highly pathogenic for the pig and camel,
causing a peracute disease with death
usually in a few days. This is the most
important trypanosome of domestic swine.
THE HEMOFLAGELIATES
57
It is only slightly pathogenic for sheep
and goats, and apparently non-pathogenic
for cattle, horses or dogs, altho it may
infect them. The rabbit appears to be the
only susceptible laboratory animal. There
is a great deal of variation in pathogenicity
between strains, and indeed marked
changes can occur in the pathogenicity of
a single strain.
T. slniiae occurs mostly in East
Africa and the Belgian Congo, but it has
also been found in other parts of Africa
where T. co)igolense occurs.
T. simiae differs morphologically
from T. congolense in being polymorphic
instead of monomorphic. It varies in
length from 12 to 2^\i. About 90% of its
forms are long and stout, with a conspicu-
ous undulating membrane, about 7% are
long and slender with an inconspicuous un-
dulating membrane, and about 3% are
short, with an inconspicuous undulating
membrane. A free flagellum is usually
absent, but has been reported in from 1 to
4% of different strains.
This species is transmitted in the
warthog reservoir host by tsetse flies, in-
cluding Glossliia morsitans and G. brevi-
palpis, in which it develops in the midgut
and proboscis. Tsetse flies also transmit
it to swine, but once it has been introduced
into a herd, it can apparently be trans-
mitted mechanically by horseflies and
other blood-sucking flies (Unsworth, 1952).
T. simiae is more resistant to drugs
than the other African trypanosomes.
Antrycide methyl sulfate is probably the
best drug, but it may not be completely
effective. It is injected subcutaneously
at the rate of 5 mg/kg; more than one in-
jection is probably necessary.
Control measures are the same as
for T. briicei. In addition, horseflies and
other biting flies should be controlled.
Disease : Souma. T. vivax is also
sometimes found in mixed infections of
cattle with T. congolense and T. briicei.
Hosts : Cattle, sheep, goats, camels,
horse. Antelopes and the giraffe are res-
ervoir hosts in Africa, and the deer (Odo-
coileiis g\'))inolis) in Venezuela (Faisson,
Mayer and Pifano, 1948). The pig, dog
and monkey are refractory to infection.
The small laboratory rodents are difficult
to infect.
Location : Blood stream, lymph. Cen-
tral nervous system infections have been
described in sheep.
Geographic Distribution : T. vivax
is found thruout the tsetse fly belt in Africa.
It has, however, spread beyond this region
to other parts of Africa and to Central
America, South America, the West Indies
and Mauritius.
Morphology : T. vivax is 20 to 27 ji
long and monomorphic. The posterior end
is typically rounded, a free flagellum is
always present, the kinetoplast is large
and terminal, and the undulating membrane
is inconspicuous (Fairbairn, 1953).
Life Cycle : The original vectors of
T. vivax and still the most important in
Africa are tsetse flies, including Glossina
morsitans, G. tachinoides and other spe-
cies. Development takes place only in the
proboscis. The trypanosomes turn into
the crithidial form, multiply in this form
and then turn into metacyclic, infective
trypanosomes which pass to the hypopharynx
and infect new hosts when the tsetse flies
bite. The flies become infectious as early
as 6 days after they themselves were in-
fected.
Horseflies and other tabanids may act
as vectors; they are the only ones in the
New World and in Africa outside the tsetse
zone. In this case transmission is mechan-
ical.
TRYPANOSOMA VIVAX
ZIEMANN, 1905
Synonyms : T. cazalboui, T. viennei,
T. bovis, T. angolense, T. caprae.
Pathogenesis : T. vivax is most im-
portant in cattle, in which the disease is
similar to that caused by T. congolense.
According to Fairbairn (1953), T. vivax
infections of cattle in East Africa usually
58
THE HEMOFLAGELLATES
cause a mild disease, but in West Africa
they are usually fatal in some types of
cattle. Virulent strains may also occur
in East Africa. Unsworth (1953) found
that T. L'ivax is highly pathogenic for zebu
cattle in laboratory infections, and that
when these cattle were exposed to infec-
tion under natural conditions in Nigeria,
all of them died.
Camels are less seriously affected
than cattle. T. vivax is apparently more
pathogenic for sheep than other trypano-
somes, and may be found in the central
nervous system. It is apparently less
pathogenic for goats. It causes a chronic
disease, often with spontaneous recovery,
in horses. It is not pathogenic for dogs,
pigs and monkeys, and only slightly so for
the common laboratory rodents.
The signs of disease are similar to
those caused by T. coiigolense. There is
a wide variation in virulence between dif-
ferent strains, but the virulence of any
particular strain tends to remain constant.
Diagnosis : T. vivax is detected most
readily in lymph node smears. Large
numbers are found in the blood only in
early infections. Inoculation of laboratory
animals is not particularly satisfactory;
inoculation of sheep or goats is better,
the trypanosomes appearing in 7 to 10 days.
being smaller. It is 12 to 20 ji long, with
an average of about 16/j.. It occurs in
cattle, sheep, goats and antelopes, causing
a disease similar to that caused by T. vivax
(Wilson, 1949). Laboratory rodents are
refractory to infection. T. uniforme
occurs only in Uganda and the Belgian Congo.
It is transmitted by tsetse flies in the same
way as T. vivax.
TRYPANOSOMA CRUZI
CHAGAS, 1909
Synonyms : Schizotrypanum cruzi.
Disease : American human trypano-
somosis, Chagas' disease.
Hosts : Many species of wild and do-
mestic animals have been found naturally
infected with Trypanosoma cruzi, and
probably most mammals are susceptible.
Man is also susceptible, infants and young
children being most often affected. The
most important wild reservoir hosts are
probably armadillos (Dasypus) in South
America, opossums (Didelphis) in South
and Central America and the United States,
and woodrats {Neotoma) and possibly rac-
coons (Procyo)i) in the United States. The
dog, cat and possibly the pig are consid-
ered of some importance as reservoirs of
infection for man in South America.
Cultivation : Same as for other try-
panosomes.
Treatment : T. vivax can be success-
fully treated with the same drugs and in
the same dosages as T. congolense. It is
perhaps slightly more resistant, but not
significantly so.
Control : Control measures are the
same as those for T. coiigolense infections.
In areas where tabanids are the vectors,
measures directed against these flies
should be practiced.
TR YPANOSOMA UNIFORME
BRUCE et al. , 1911
This species is similar to T. vivax,
differing from it morphologically only in
Location : The trypanosomes are
found in the blood early in an infection.
Later, they invade the cells of the reticulo-
endothelial system, heart and striated
muscles and other tissues. In central nerv-
ous system infections, they are found in
the neuroglial cells. Trypanosome forms
occur in the blood, and leishmanial forms
within the cells.
Geographic Distribution : T. cruzi
occurs in South America from Argentina
north, in Central America and in southern
United States. Dias (1953) published maps
of the distribution of Chagas' disease in
South and Central America together with
climatologic and other information.
In the United States, T. cruzi had been
thought until recently to be confined to the
southwestern states, including Texas,
THE HEMOFLAGELLATES
59
Arizona, New Mexico and southern Califor-
nia, but Walton et al. (1956) discovered it
in raccoons in Maryland, and it appears
that it may be rather widely distributed in
the southeastern states. McKeever, Gor-
man and Norman (1958) found it in 17% of
552 opossums, 2% of 118 grey foxes {Uro-
cyon cinereoaygentens), 1. 5% of 608 rac-
coons and 1% of 306 striped skunks {Me-
phitis mephitis) from Georgia and Florida.
Walton et al. (1958) found it in 5 of 400
raccoons from Maryland. Norman et al.
(1959) reported that their strains were
typical T. criizi of relatively low virulence
for mice.
Morphology : The forms in the blood
are monomorphic, 16 to 20 /i long, with a
pointed posterior end and a curved, stumpy
body. The kinetoplast is subterminal and
larger than that of any other trypanosome
of domestic animals or man, often causing
the body to bulge around it. The undulating
membrane is narrow, with only 2 or 3 un-
dulations. There is a moderately long
free flagellum. The leishmanial forms in
the muscle and other tissue cells are 1. 5
to 4. 0|i in diameter and occur in groups.
Electron microscope studies of this spe-
cies have been made by Meyer and Porter
(1954), Meyer, Musacchio and Mendonca
(1958) and Meyer and Queiroga (1960).
Fig. 4. Successive stages in the transfor-
mation of a leishmanial form of
Trypanosoma criizi into a meta-
cyclic trypanosome form. The
metacyclic trypanosome (lower
right) is from a Giemsa stained
smear; the other stages are from
living preparations of culture ma-
terial viewed with the phase mi-
croscope. (From Noble, 1955)
Life Cycle : Altho the trypanosome
form of T. cruzi is common in the blood
in the early stages of Chagas' disease, it
does not multiply in this form. The try-
panosome forms enter the cells of the
reticulo-endothelial system, striated mus-
cles and especially of the heart muscle,
where they round up and turn into leish-
manial forms. These multiply by binary
fission, destroying the host cells and
forming cyst-like nests of parasites.
There does not appear to be conclusive
proof that they turn into the crithidial
form in mammals, as was once believed.
The leishmanial forms turn into trypano-
some forms which re-enter the blood.
Among recent studies or reviews of the
life cycle of T. cruzi in the vertebrate host
are those of Elkeles (1951), Noble (1955),
Romana (1956) and Wood (1951, 1951a,
1953).
The vectors of T. cruzi are kissing
bugs or conenose bugs, members of the
hemipteran family Reduviidae. Natural
infections have been found in at least 36
species of these bugs. They get their first
name from the fact that in sucking blood
they prefer to attack the thinner parts of
the skin such as the lips or eyelids.
The most important vector in South
America is probably Panstrongylus (syn. ,
Triatoma) megistus. Other important
vectors in South and Central America are
P. geniculatus, Eutriatoma sordida, Tri-
atoma infestans, Rliodnius prolixiis and
Eratyrus cuspidatus.
According to Faust (1949), 15 naturally
infected species of reduviids have been
found in the United States. Dias (1951,
60
THE HEMOFLACELLATES
1951a) listed Triatoma pro Ir acta, T. san-
giiisiiga (= T. gerstaeckeri), T. lecliilar-
ius, T. longipes, T. neolomae and T.
rubida as having been found infected in the
U. S. Mehringer and Wood (1958) found
T. C7-uzi in 24% of 383 Triatuma prolracta
collected in the Boy's and Girl's Camp
areas in Griffith Park, Los Angeles,
Calif. Most of the conenose bugs were
taken in human habitations.
Both the nymphs and adults of these
reduviids can be infected and can transmit
the disease. In addition, it is possible to
infect sheep keds (Rodhain and Brutsaert,
1935), ticks {Orinthodorus){Bv\im'()i, 1939)
and bedbugs (Wood, 1951a) experimentally.
After they have been ingested by the
triatomids along with a blood meal, the
trypanosomes pass to the midgut. Here
they turn into leishmanial forms which
multiply by binary fission and turn into
either metacyclic trypanosomes or cri-
thidial forms. The crithidial forms multi-
ply further by binary fission, and extend
into the rectum. Here they turn into meta-
cyclic trypanosomes, which are unable to
divide until they enter a vertebrate host.
The life cycle in the invertebrate host takes
6 to 15 days or longer, depending on the in-
sect species or stage and on the temperature.
The infective trypanosome forms pass
out in the feces. They can penetrate the
mucous membranes or skin actively.
Triatomids commonly defecate after feed-
ing, and most human infections occur when
feces are rubbed into the eyes or mucous
membranes following a bite. Animals can
become infected by licking their bites or
by eating infected bugs or rodents.
Epidemiology : Human infections
with T. cnui are common in many parts
of tropical America, including Brazil,
Bolivia, northern Chile, northern Argen-
tina, French Guiana, Paraguay, Uruguay
and Venezuela. In some localities 10 to
20% or even 507o of the inhabitants are
positive to the complement fixation
(Machado) test, but in other localities
where exposure to the vectors is minimal,
there are very few positive reactions. As
mentioned below, acute Chagas' disease
occurs primarily in infants and children,
and the number of acute cases is far lower
than the numbers of chronic and unrecog-
nized infections.
Chagas' disease becomes increasingly
uncommon to the north of the endemic area
even tho infected reservoir hosts and vec-
tors may be common. Less than 140 cases
of Chagas' disease had been reported from
Guatemala, Salvador, Nicaragua, Costa
Rica and Panama according to Dias (1952a)
while only 9 cases were known from Mexico
(Mazzotti and Dias, 1950). Only a single
indigenous case has been reported from
the United States, by Woody and Woody
(1955) in Texas.
Chagas' disease is a zoonosis, infec-
tions occurring widely in animals and man.
The armadillo is thought by Hoare (1949)
to be the original source of the human dis-
ease in South America, but the opossum
and many other wild animals are also in-
fected. The most important wild reser-
voirs in the United States are woodrats of
the genus Neotoitia. Natural infections
have been found in the southwestern states
and southern California in jV. fuscipes,
N. albigida, N. micropus, in the deer-
mouse, Peromyscus boylii, and also in
the opossum, house mouse and nine -banded
armadillo {Dasypus novemcbictus). The
recent discovery of T. criizi infections in
raccoons {Procyon lotor), opossums, gray
foxes and skunks in Maryland, Georgia and
Florida (Walton t^/ «/. , 1956, 1958; Mc-
Keever, Gorman and Norman, 1958)
raises the question how widespread the in-
fection is in these animals.
Cats and dogs are often naturally in-
fected in South America, and, because of
their closer association with man, are
probably more important as sources of
human infection than wild animals. Natur-
ally infected pigs have been found in South
America, and sheep and goats can be in-
fected experimentally with these South
American strains.
In a study of the possible role of farm
animals as reservoirs of North American
strains of T. criizi. Diamond and Rubin
(1958) established low-grade infections in
THE HEMOFLAGELLATES
61
young pigs, lambs, kids and calves with
a strain isolated from a raccoon in Mary-
land. The infections persisted at least
57 days in the pigs, 53 to 85 days in the
lambs, 38 days in a kid and 21 days in a
calf.
Infection is common in the triatomid
vectors of Chagas' disease. In the endemic
regions of South and Central America, 40
to 60% of them are infected, while 20 to
25% are infected in Mexico and southwest-
ern United States. The triatomids infest
armadillo burrows and woodrat nests, and
thus maintain the infection in these animals.
They also infest houses, where they live
like bedbugs; it is these triatomids which
are responsible for the vast majority of
human infections.
Because triatomids are rare in south-
eastern U. S. where T. criizi is common
in the opossums, and because they iso-
lated the organism from the urine of in-
fected opossums, McKeever, Gorman and
Norman (1958) believed that infections may
be passed from mammal to mammal by
contact with infected urine.
For further information on the epide-
miology of T. cruzi infections see Dias
(1951, 1951a, 1951b, 1952, 1952a, 1952b),
Dias and Chandler (1951), Dias and Laranja
(1948), Dias, Laranja and Nobrega (1946)
and other papers by these authors. For
information on the epidemiology of T.
cruzi in southwestern United States, see
Elkins (1951) and particularly Wood (1950,
1953a, 1958), and Mehringer and Wood
(1958).
Pathogenesis : Chagas' disease may
be either acute or chronic in man. The
great majority of acute cases occur in
infants and young children. The first sign
of disease is often swelling of the eyes and
conjunctiva. This swelling may affect
either one or both sides of the face. The
tear glands become inflamed, and the
cervical lymph nodes swell. Later on,
swellings may appear in other parts of the
body. Each swelling, known as a chagoma,
is due to an inflammatory exudate in the
region where the parasites are invading
the tissue cells. In addition to this edema,
there may be anemia, more or less con-
tinuous fever, prostration and severe
headache.
If the patient survives the acute phase,
the disease becomes more or less chronic.
Some authorities believe that it persists
for life. The lymph nodes are edematous
and inflamed, and the liver and spleen are
enlarged. The heart is affected in many
cases. Electrocardiographic abnormal-
ities are common. Inflammatory infiltra-
tion by phagocytes, fibrosis, separation of
the muscle cells and partial destruction of
the fibers by the multiplying parasites are
present. The death rate due to cardiac
conditions is increased in endemic areas.
T. cruzi may cause an acute or chronic
disease in laboratory animals, depending
on the strain of the parasite and the age of
the host. Puppies and kittens are most
susceptible, followed in order by mice and
guinea pigs. The reservoir hosts are ap-
parently not seriously affected, nor are
farm animals. No clinical signs were ob-
served in the infected young pigs, lambs,
kids and calves studied by Diamond and
Rubin (1958).
Diagnosis : In the acute stage of the
disease, T. cruzi can be found in thick
blood smears. In chronic or light infec-
tions, other methods must be used. One
of the most important is xeuodiagiios is,
the inoculation of susceptible vector hosts.
Laboratory-reared, parasite-free triato-
mids are allowed to feed on suspected in-
dividuals, and their droppings or intestines
are examined 7 to 10 days later for devel-
oping trypanosomes. Rhodnius prolixus
is often used for this purpose (Pifano, 1954a).
Laboratory animals can also be inoc-
ulated. In descending order of suscepti-
bility, these are puppies, kittens, mice
and guinea pigs. The trypanosomes can
be cultivated in NNN medium, Weinman's
(1946) medium, Diamond and Herman's
(1954) SNB-9 (serum -neopeptone-blood)
medium, or in a number of other media.
The trypanosomes can also be found in
biopsy examinations of affected lymph
glands or, on necropsy, in sections of
heart muscle.
62
THE HEMOFLAGELLATES
A complement fixation test, the
Machado reaction, has been used, but it is
also positive in Leislunaitia infections and
weakly positive in a number of other con-
ditions. Other serologic tests which have
been used are the precipitin reaction, an
intradermal skin test and a slide agglu-
tination test. T. cruzi can be differenti-
ated from the non-pathogenic T. rmigeli
by its smaller size and large kinetoplast.
Treatment : No satisfactory drug is
known for the treatment of T. criizi infec-
tions, altho Bayer 7602 Ac is used.
Control : Prevention of human T.
cruzi infection depends upon eliminating
triatomids from houses. This will also
largely prevent infections among domestic
dogs and cats. Dusting or spraying houses
with residual lindane or dieldrin has given
good results.
TR YPANOSOMA RANGELI
TEJERA, 1920
Synonyms : Tr\'pa>ioso))ia guaterna-
lense, T. ariarii.
T. yaiigeli was first found in the tri-
atomid, Rhodnius prolixus, in Venezuela.
It was later found in children in Guatemala
and still later in Colombia, Chile and El
Salvador. It is quite common in dogs,
cats and man in certain areas of Venezuela,
Colombia and Guatemala, and is sometimes
found in mixed infections with T. cruzi.
Groot, Renjifo and Uribe (1951) found it in
67 of 183 persons in the Ariari Valley and
Groot (1951) found it in 1 of 30 persons, 2
of 27 dogs and an opossum in the Mira-
flores region of Colombia. It has also been
found in the monkey, Cebiis fatiiellns.
Young mice, rats and rhesus monkeys can
be infected experimentally.
The trypanosomes in the blood are
considerably larger than T. cruzi, being
26 to 36 )i long. The nucleus is anterior
to the middle of the body, the undulating
membrane is rippled and the kinetoplast
is small and subterminal.
The most common vector is Rhodnius
prolixus, but Triatoma dimidiata and other
triatomids have also been found infected.
A piriform stage about 1 ji long has been
found in the foregut, and crithidial and
metacyclic trypanosome forms develop in
the hindgut. The crithidial stages may be
extremely long, ranging from 32 to 70 or
even over 100 /i in length. The metacyclic
trypanosome forms have a well-developed
undulating membrane and a long free fla-
gellum. They may pass into the hemolyniph
and thence to the salivary glands. They
can be transmitted either by bite or by
fecal contamination.
T. rangeli does not appear to be path-
ogenic for vertebrates, but Grewal (1957)
found that it was pathogenic for R. prolixus
and also for experimentally infected bed-
bugs.
The blood forms of T. ra)igeli can be
readily differentiated from those of T.
cruzi by their larger size and their much
smaller kinetoplast. The forms in the in-
sect hosts can be distinguished by their
small kinetoplast and giant crithidial forms.
T. rangeli can be easily cultivated in
a modified NNN medium containing glucose,
peptone and macerated meat (Pifano, 1948).
The culture forms are similar to those in
the triatomid intestine. For further infor-
mation regarding this species, see Groot,
Renjifo and Uribe (1951), Groot (1954),
Pifano (1948, 1954) and Zeledon (1954).
TR YPANOSOMA
LAVERAN, 1902
THEILERI
Synonyms : Trypanosoma franki,
T. ivrublewskii, T. himalayanum, T.
indiciim, T. muktesari, T. falsliaici, T.
scheini, T. americanum, T. rulherfordi.
T. theileri occurs in the blood of cat-
tle. It is worldwide in distribution. It is
probably quite common, but is rarely found
in blood smears. Crawley (1912) found it
in blood cultures from 74% of 27 cattle
around Washington, D. C. and Glaser (1922)
found it in blood cultures from 25% of 28
New Jersey cattle. Neither found it in
direct blood smears. Atchley (1951) found
it in the blood of 1% of 500 South Carolina
cattle.
THE HEMOFLACELLATES
63
T. theileri is relatively large, being
ordinarily 60 to 70 ;i long, but forms up
to 120jLi long and smaller ones 25|i long
often occur; those found by Levine et al.
(1956) in an Illinois heifer were 34 to 40 /i
long exclusive of the flagellum. The pos-
terior end is long and pointed. There is
a medium -sized kinetoplast some distance
anterior to it. The undulating membrane
is prominent, and a free flagellum is pres-
ent. Both trypanosome and crithidial forms
forms may occur in the blood. Multipli-
cation occurs by binary fission in the
crithidial form in the lymph nodes and
various tissues.
T. theileri is transmitted by various
tabanid flies, including Tabamis and
Haeinatopota. It reproduces in the fly
intestine by binary fission in the crithidial
stage.
T. theileri is ordinarily non-patho-
genic, but under conditions of stress it
may cause serious signs and even death.
It has caused losses in cattle being im-
munized against rinderpest and other
diseases, and has occasionally been
accused of causing an anthrax-like dis-
ease. Carmichael (1939) found masses of
T. theileri in the brain of a cow which had
died with signs of "turning sickness" in
Uganda.
T. theileri may also be associated
with abortion, altho it has not proved that
it causes this condition. Levine et al.
(1956) found it in an Illinois heifer which
had aborted, and Dikmans, Manthei and
Frank (1957) found it in the stomach of
an aborted bovine fetus in Virginia. Lund-
holm, Storz and^McKercher (1959) found
it as a contaminant in a primary culture
of kidney cells from a bovine fetus in
California. This was further evidence
that intrauterine transmission may occur.
Ristic and Trager (1958) found T.
theileri in three Florida dairy cattle with
depressed milk production; it was not
found in cows in the same herd with nor-
mal milk production. The affected cows
had a marked eosinophilia.
Since T. theileri is rarely seen in
the blood, diagnosis ordinarily depends on
cultivation. It can be cultivated in NNN
and other media at room temperature.
Ristic and Trager (1958) also cultivated
it at 37"" C in a blood-lysate medium.
Both crithidial and trypanosome forms
were present in their cultures. Lundholm,
Storz and McKercher (1959) found that it
grew well in tissue culture medium con-
taining 10% lamb serum, but better if
bovine kidney cells were present.
No treatment is known for T. theileri.
Infections can be prevented by elimination
of the tabanid vectors.
TRYPANOSOMA MELOPHAGIUM
(FLU, 1908)
This parasite is very common in sheep
thruout the world. It is non-pathogenic,
and infections are so sparse that it can or-
dinarily be found only by cultivation. The
trypanosomes in the blood resemble T.
theileri and are 50 to 60 |i long.
T. nielophagimn is transmitted by the
sheep ked, Melophagns oviuiis, and can
readily be found in its intestine. Its life
cycle has been described by Hoare (1923).
Crithidial forms are abundant in the mid-
gut, and leishmanial forms occur here
also. Both multiply by binary fission.
The crithidial forms change into small,
metacyclic trypanosome forms in the hind-
gut. Nelson (1956) found that T. melo-
phagiiim may kill the ked by blocking the
midgut. Sheep are infected when they
bite into the keds and the trypanosomes
pass thru the intact buccal mucosa. Be-
cause infections in sheep are so sparse,
it has been suggested that no multiplication
occurs in this host.
TRYPANOSOMA THEODORI
HOARE, 1931
This non- pat ho genie species was
found in goats in Palestine. It resembles
T. melophagiHui and has a similar life
cycle, except that its intermediate host
is another hippoboscid fly, Lipoptena
capriiia. T. tJieodori may be a synonym
of T. nielophagiuni.
64
THE HEMOFLACELLATES
TRVPAXOSUMA NABIASI
RAILLIET, 1895
This species occurs in the wild
European rabbit, Oryctolagns cuniculiis.
It has been found sporadically in England,
France and other European countries. It
is 24 to 28 fi long. Its intermediate host
is the flea, Spilopsyllus cuniculi, in which
it develops in the gut. The metacyclic
infective forms occur in the rectum. In-
fection is presumably by ingestion. Grewal
(1956) described its life cycle briefly.
TRYPANOSOMA LEWISI
CKENT, 1880)
LAVERAN AND MESNIL,
1901
This species occurs quite commonly
in the black rat, Norway rat and other
members of the genus Ralliis thruout the
world. It is not normally transmissible
to mice. It is 26 to 34 ^t long. Its vector
is the rat flea, Nosopsyllus fasciatus, in
which it develops in the gut, and in which
the metacyclic, infective forms occur in
the rectum. Rats become infected by
eating infected fleas or flea feces. T.
lewlsi is non-pathogenic.
A great deal of research has been
done on this species, since it is easy to
handle and its host is a convenient one.
TRYPANOSOMA DUTTONI
THIROUX, 1900
This species occurs in the house
mouse and other species of Alus thruout
the world. It is not normally transmis-
sible to rats. It is 28 to 34 ^ long. Its
vector is the flea, Nosopsyllus fasciatus,
and its life cycle is the same as that of
T. lewisi. It is non-pathogenic.
TRYPANOSOMES OF BIRDS
Trypanosomes have been reported
under a large number of names from
many species of birds. They all look
very much alike and probably belong to
relatively few species. However, exten-
sive cross transmission studies are
needed to establish their relationships,
and, until these are carried out, it is
probably best to refer to them by the names
under which they were first described.
Trypanosoma avium Danilew sky, 1885
was first described from owls (scientific
name not given) and roller-birds {Coracias
garrulus) in Europe, and has since been
reported from a wide variety of birds, in-
cluding crows (Baker, 1956) and Canada
geese (Diamond and Herman, 1954). Baker
(1956 a, b) transmitted it from the rook
[Corvus frugilegns) and jackdaw (C. mone-
dula) to canaries, but failed to transmit it
to a single 3-day-old chick.
T. calmettei Mathis and Leger, 1909
was described from the chicken in south-
east Asia; it is about 36 |i long. T. gal-
linarum Bruce et al. , 1911 was described
from the chicken in central Africa; it is
about 60 /i long. T. Iiannai was described
from the pigeon, and T. numidae from the
guinea fowl.
Avian trypanosomes are very poly-
morphic, sometimes attaining great size.
They may be 26 to 60j:x long or even longer.
The kinetoplast is generally a long distance
from the posterior end. There is a free
flagellum, and the body is often striated.
Blood-sucking arthropods such as
mosquitoes and hippoboscids are believed
to be the vectors of avian trypanosomes,
but the only complete life cycle was worked
out by Baker (1956, a, b) for T. avimn from
rooks and jackdaws. He found that in Eng-
land the hippoboscid fly, Oniilhoiiiyia
avicularia, acts as the vector. Upon in-
gestion with a blood meal, the trypanosomes
change into the crithidial form in the mid-
gut, multiply by binary fission in this form,
and pass to the hindgut. They multiply fur-
ther and then turn into a piriform stage
which develops in turn into a small, meta-
cyclic trypanosome form. Birds become
infected when they eat infected insects.
The metacyclic trypanosomes penetrate
the membranes of the mouth, esophagus
and/or crop and probably invade the lymph-
atic system, developing into large forms
THE HEMOFLAGELLATES
65
which first appear in the blood 18 to 24
hours after infection.
According to Baker, there is no mul-
tiplication in the avian host, the trypano-
somes simply becoming larger. This
would account for their sparse numbers in
the blood. They persist in the rook and
jackdaw over-winter, being more or less
restricted to the bone marrow, and re-
appear in the peripheral blood in the spring
Diamond and Herman (1954), too, found
that T. avium could be isolated from the
bone marrow of Canada geese much more
readily than from the blood.
Nothing is known of the pathogenicity
of the avian trypanosomes. They are pre-
sumably non-pathogenic.
Avian trypanosomes can be readily
cultivated on several media, including
NNN medium and the SNB-9 (saline-neo-
peptone-blood) medium described by
Diamond and Herman (1954).
Genus LEISHMANIA Ross, 1903
Members of this genus occur primar-
ily in mammals. They cause disease in
man, dogs and various rodents including
gerbils and guinea pigs. Leishiiiaiiia is
heteroxenous, being transmitted by sand-
flies of the genus Phlebotoiuiis. It is
found in the leishmanial stage in the cells
of its vertebrate hosts and in the lepto-
monad stage in the intestine of the sandfly
and in culture.
Morphology : All species of Leish-
mania look alike, altho there are size dif-
ferences between different strains. The
leishmanial stage is ovoid or round,
usually 2. 5 to 5. by 1 . 5 to 2. p. , altho
smaller forms occur. Only the nucleus
and kinetoplast are ordinarily visible in
stained preparations, but a trace of an in-
ternal fibril representing the flagellum
can sometimes be seen. This flagellum
and the basal granule from which it arises
can also be seen in electron micrographs
(Chang, 1956; Pyne and Chakraborty,
1958). The leptomonad forms in culture
and in the invertebrate host are spindle-
shaped, 14 to 20 |i long and 1. 5 to 3. 5(i
wide.
Life Cycle : In the vertebrate host,
Leishmauia is found in the macrophages
and other cells of the reticulo-endothelial
system in the skin, spleen, liver, bone
marrow, lymph nodes, mucosa, etc. It
may also be found in the leucocytes, es-
pecially the large mononuclears, in the
blood stream. It multiplies by binary
fission in the leishmanial form.
The invertebrate hosts of Leishmauia
are sandflies of the genus Phlebotomus .
When the sandflies suck blood they ingest
the leishmanial forms. These pass to the
midgut, where they assume the leptomonad
form and multiply by binary fission. They
may be either free in the lumen or attached
to the walls.
Their further development varies with
the particular species of Pldebotomiis and
strain of Leislniiaitia. In good vectors like
P. argentipes, P. papatasii and P. sergenti,
they begin to extend their range forward to
the esophagus and pharynx by the fourth or
fifth day. They continue to multiply to
such an extent that they plug up the esopha-
gus and interfere with blood- sucking. When
an infected sandfly bites, it clears the pas-
sage by injecting some of the leishmanial
forms into its victim and thus transmits the
parasite. Leishmauia may also be transmit-
ted when sandflies are crushed on the skin.
In other cases, the parasites remain
in the sandfly midgut and do not pass for-
ward into the pharynx. These can then be
transmitted only by crushing the sandflies.
A third type of development was described
by Shoshina (1953), who found leptomonads
in the hindgut of P. )nini(tiis var. arpark-
leiisis in Russia and suggested that feces
containing them might be rubbed into the
bite while scratching it.
In addition to transmission by sand-
flies, it has been suggested that direct
infection by means of excretions of infected
individuals might occur in kala azar.
Species of Leishmania : The specia-
tion of Leislimaiiia has been discussed by
66
THE HEMOFLACELLATES
Hoare (1949), Kirk (1949, 1950) and Biaga
(1953) among others. While some 22 dif-
ferent specific or subspecific names have
been given to mammalian leishmanias, and
while different strains are associated with
different types of disease, neither morpho-
logic, cultural nor immunologic characters
can be used to differentiate the species of
Leishiiia)iia. In practice, the species are
separated on the basis of pathologic and
epidemiologic differences and, since most
studies have been made by parasitologists
oriented toward human disease, the patho-
logic characters used for each strain have
been those seen in man. In the earlier
days of our knowledge, when relatively few
types were known, it was quite easy to de-
lineate their characteristics and set up
separate species, but as more studies
were made, intermediate types were found
and the boundaries between species tended
to disappear.
Some parasitologists consider that all
the leishmanias of man and dogs should be
assigned to a single species. Others pre-
fer to assign them to two species, and
still others to three. One can justify each
of these schemes, but in all of them each
species is still composed of a number of
strains or demes.
In this book, two species of Leish-
mania are recognized: L. doiiovani,
causing various visceral forms of disease,
and L. tropica, causing various cutaneous
and mucocutaneous forms. The third spe-
cies recognized by some authorities is
L. hrasiliensis, which causes a mucocu-
taneous form of the disease.
Maps of the world distribution of
leishmanioses together with climatologic
and other information have been published
by Piekarski (1952), Piekarski and Sibbing
(1954), Piekarski, Hennig and Sibbing
(1956, 1958a), the American Geographical
Society (1954) and May (1954).
LEISHMANIA DONOVANI
(LAVERAN AND MESNIL, 1903)
ROSS, 1903
Synonyms : Piroplasma donovani,
Leishmania infantum, L. canis, L. chagasi.
Disease : Kala-azar; dum-dum fever;
visceral leishmaniosis.
Hosts : Man and the dog are the prin-
cipal hosts of L. donovani. Infections have
also been reported in the cat by Sergent
el at. (1912) and Bosselut (1948), in the
sheep by De Paolis (1935) and in the horse
by Richardson (1926).
Location : L. donovani occurs in the
cells of the reticulo -endothelial system,
including both the endothelial cells and the
circulating monocytes and polymorphonu-
clear leucocytes. The parasites are found
thruout the body, but particularly in the
endothelial cells of the blood and lymph
vessels of the spleen, liver, bone marrow,
lungs, kidneys, mesenteric lymph nodes
and skin.
Types of Disease, Geographic Distri -
bution and Epidemiology :
Five types of visceral leishmaniosis can
be recognized:
1. Indian kala-azar or dum-dum fever is
the classical type of the disease. It is
found in India and affects young adults
(60%) and children 5 to 15 years old.
It does not occur naturally in dogs altho
they can be infected experimentally. It
is transmitted by Phlebotoums argen-
tipes.
2. Sudanese kala-azar is found in the
Sudan and Abyssinia. It affects people
of the same ages as Indian kala-azar
and does not occur naturally in dogs.
It was found once in a horse (Kirk,
1956). Oral lesions are frequently
present, and this type of the disease is
relatively refractory to treatment with
antimony compounds. It is transmitted
by P. orientalis. A similar form oc-
curs in small, isolated pockets scat-
tered thru Africa south of the Sahara.
It may cause skin lesions in addition
to the visceral ones. It is a zoonosis,
and has been found in a gerbil ( Tatera
vicina) and a ground squirrel {Xenis
)7<////fs)(Manson-Bahr, 1959).
3. Chinese kala-azar is found in northern
China. It is more common in children
THE HEMOFLAGELLATES
67
than in adults, and also occurs com-
monly in dogs. It is transmitted by
P. cliiiieiisis and P.
sergeiiti.
4. Mediterranean or infantile kala-azar
is found in countries of the Mediter-
ranean basin including southern
Europe and in parts of tropical Africa.
Dogs are much more commonly in-
fected than man, and 90% of the af-
fected people are children less than 5
years old. The incidence in dogs may
reach 20% in some countries, and in-
fection rates as high as 40% have been
reported in Greece and Samarkand.
Even in such countries, the infection
rate in children is only 1 to 2%.
Mediterranean kala-azar is transmitted
principally by P. perniciosus and P.
major.
5. South American kala-azar is found
from Mexico to northern Argentina.
It attacks human beings of all ages and
also occurs in dogs and cats. In a
monographic review of visceral leish-
maniosis in Brazil, Da Silva (1957)
stated that it is endemic and at times
epidemic in certain areas, that it is
transmitted by Plilebotonius longipal-
pis from a natural reservoir host such
as the dog, and that it occurs mostly
among persons with a low economic
status and particularly among the
children of that group. According to
Deane (1956, 1958), the dog is the
principal urban reservoir and the most
important source of human infection,
while the "bush-dog" {Lycalopex vet-
uliis) is probably the principal rural
one. The disease is also transmitted
by P. iiitermedius.
Two cases of visceral leishmaniosis
have been reported in dogs in the United
States, one in Alabama by Thorson et al.
(1955) and the other in Washington, D. C.
by Gleiser, Thiel and Cashell (1957).
Both dogs had been imported into this
country from Greece.
Of the five types of visceral leish-
maniosis, the Mediterranean, Chinese
and South American are zoonoses while
the Indian and Sudanese are not. The
reasons for this are not clear, since dogs
can be infected experimentally with the
Indian and Sudanese denies of L. cloiiovani.
Adler and Theodor suggested that it may
be because the Mediterranean type is trans-
mitted by sandfly bites whereas the Indian
type is transmitted when the sandfly is
crushed on the skin. Since dogs and infants
are not good flyslappers, they are not so
likely to get Indian kala-azar.
Pathogenesis : Kala-azar is an im-
portant and highly fatal disease of man,
particularly in India. After an incubation
period of several months, it starts with an
irregular fever lasting weeks to months.
The spleen and liver hypertrophy. In ad-
vanced cases, there is ulceration of the
digestive tract (mouth, nose, large intes-
tine) resulting in diarrhea, and ulceration
of the skin. There is great emaciation,
but the abdomen is swollen. In untreated
cases, the mortality is 75 to 95%, being a
little higher in adults than in infants.
Death occurs in a few weeks to several
years, often resulting from intercurrent
disease. In treated cases, 85 to 95% re-
cover. Following recovery, whitish spots
which develop into lentil-sized nodules may
appear in the skin, particularly of the face
and neck. This condition is known as post-
kala-azar dermal leishmanoid.
Mediterranean kala-azar in children
is similar to the above, but the disease
usually runs a shorter course.
Kala-azar is essentially a reticulo-
endotheliosis. The reticulo-endothelial
cells are increased in number and invaded
by the parasites. The cut surface of the
enormously enlarged spleen is congested,
purple or brown, with prominent Malpig-
hian corpuscles. The liver is enlarged
and there is fatty infiltration of the Kupf-
fer cells. The macrophages, myelocytes
and neutrophiles of the bone marrow are
filled with parasites. The lymph nodes
are usually enlarged and the intestinal
submucosa is infiltrated with macrophages
filled with parasites; these are especially
numerous around the Peyer's patches. In-
testinal ulceration, if present, is usually
a secondary condition. There is progres-
sive leucopenia accompanied by monocytosis.
68
THE HEMOFLAGELLATES
There may be anemia due to blockage of
the reticulo-endothelial system.
In dogs and also in the Brazilian bush-
dog, L. duiiova)ii may cause either vis-
ceral or cutaneous lesions, but the latter
are much more common. The disease is
usually chronic with low mortality, altho
an acute, highly fatal type is known.
There may be emaciation and anemia.
There is an abundant scurfy desquamation
of the skin, and in some dogs more or
less numerous cutaneous ulcers. In
Chinese kala-azar, cutaneous lesions occur
especially around the nose and ears. The
hair is shed on parts of the body, particu-
larly the head. The parasites occur in the
macrophages in the subcutaneous tissues
or in nodular lesions in the skin. They
have also been recovered from healthy
appearing skin. The visceral type of the
disease is similar to that in man.
Diagnosis : The only sure diagnostic
method is the demonstration of the para-
sites themselves, altho serologic and
other tests have also been used and are of
suggestive value. Smears made from
biopsy samples of spleen pulp, liver pulp,
superficial lymph nodes, bone marrow or
thick blood smears can be stained with
Giemsa's stain and examined microscopi-
cally. In visceral leishmaniosis, the
spleen is most often positive, but a certain
amount of danger is associated with punc-
turing a soft, engorged, enlarged spleen.
Thick blood smears are more often posi-
tive in man than in dogs.
Examination of bone marrow obtained
by sternal puncture is becoming increas-
ingly popular. In the cutaneous form of
the disease, scrapings should be made
for staining from the lesions or from the
dermis with as little bleeding as possible.
This is probably the method of choice for
dogs, since the cutaneous disease is more
common than the visceral form in them.
L. donovaiii can often be found in appar-
ently normal skin in dogs and also, in the
Sudanese and Middle Asiatic forms of the
disease, in man (Manson-Bahr, 1959).
Examination of the superficial lymph
nodes is also valuable.
Leishmania can be cultivated readily
in NNN medium or a similar medium. The
medium is inoculated with spleen, lymph
node or liver juice, bone marrow, blood,
or excised dermis and incubated for a week
to a month at 22 to 24"^ C. Leptomonad
forms are present in culture. Leishmania
can also be grown in chicken embryos
(Trincao, 1948) and in tissue culture
(Hawking, 1948); see Pipkin (1960) for a
review of this subject.
Animal inoculation can also be prac-
ticed, but is not usually done because it
takes several months. The golden hamster
is the most susceptible laboratory animal.
The complement fixation test has been
used with some success, particularly in
man. It is often positive before the para-
sites themselves can be found.
The formol gel test (Napier's aldehyde
test) is positive in more advanced cases.
It is carried out by adding a drop of com-
mercial formalin to 1 ml of serum. In a
positive reaction the serum turns into a
milky white gel; a clear gel is not positive.
Organic antimony compounds, resorcinol,
and many other compounds will also pro-
duce this reaction. It is due to an increase
in euglobulin and decrease in albumin in
the serum. It also occurs in diseases
other than kala-azar.
Treatment: Leishmanial infections
can be treated successfully with various
organic antimony compounds. The cheap-
est is tartar emetic, which is administered
intravenously. In man, at least 25 or 30
doses totaling at least 2. 5 g must be ad-
ministered daily or on alternate days.
Pentavalent antimony compounds are more
expensive, but they are less toxic, act
more quickly, and most of them can be in-
jected intramuscularly as well as intra-
venously. Even so, 10 or 12 doses total-
ing 2. 7 to 4. g are needed. Among these
compounds are neostibosan, neostam,
solustibosan and urea stibamine. The
aromatic diamidines, pentamidine and stil-
bamidine, have been used in treating hu-
man leishmaniosis, but they are appar-
ently not very effective in dogs. Goodwin
THE HEMOFLAGELLATES
69
and Rollo (1955) reviewed the chemother-
apy of leishmaniosis briefly.
Control : Prevention of leishmanial
infections depends on breaking the life
cycle by elimination of sandflies. This
can be done by residual spraying of houses,
barns and outside resting places with DDT
or other chlorinated hydrocarbon insecti-
cides (Hertig, 1949; Corradetti, 1954;
Deane, 1958). In addition, insect repel-
lents such as dimethylphthalate can be
rubbed on the skin, houses can be screened
with very fine mesh wire, and decaying
vegetation and other breeding places can
be cleaned up.
In regions where kala-azar is a
zoonosis, treatment of infected dogs and
destruction of strays will eliminate the
reservoir of infection for man.
LEISHMANIA TROPICA
(WRIGHT, 1903)
LUHE, 1906
Synonyms : Helcosoma tropicnm,
Sporozoa furuncidosa, Ovoplas»ia orien-
tale, Plasmosoma jericiiaense, Leish-
mania wrighti, L. Cunningham i, L. nilo-
tica, L. recidiva, L. brasilieiisis, L.
peruviana.
Disease : Cutaneous leishmaniosis,
mucocutaneous leishmaniosis, Oriental
sore, Aleppo button, Jericho boil, Delhi
boil, espundia, uta, chiclero ulcer, buba,
plan bois, American forest leishmaniosis.
Hosts : The usual hosts are man, the
dog and, in parts of the Old World, gerbils
{Rhombomys opimus) and other wild ro-
dents.
Location : L. tropica occurs in the
monocytes and other cells of the reticulo-
endothelial system, in cutaneous lesions
and in the skin. It may also occur in the
lymph nodes and in the mucous membranes.
Types of Disease, Geographic Distri -
bution and Epidemiology :
Two forms of cutaneous leishmaniosis
have been described in man in the Old
World and 4 in the New. Separate sub-
specific names have been given to some
of them:
1. Classical Oriental sore is found in
regions with a hot, dry climate from
the Mediterranean basin to central and
northern India. It is caused by L.
tropica minor. The incubation period
is several months. The lesions are
circumscribed, "dry" sores in the
skin. They heal spontaneously and do
not extend to the mucous membranes.
The lymph nodes are involved in about
10% of the cases. Dogs are commonly
infected, and the disease is urban in
distribution. In Teheran, Iran, for
example, 40 to 50% of the dogs have
skin ulcers. The disease is transmit-
ted by Phleboto)}ins papatasii, P. ser-
genti, P. perfiliewi and P. tongicuspis.
2. "Moist" or "wet" Oriental sore is found
in Central Asia and southern USSR. It
is caused by L. tropica major; there is
no cross-immunity between this sub-
species and L. t. minor. The incuba-
tion period is 1 to 6 weeks. The lesions
are wet and ulcerative, but do not ex-
tend to the mucous membranes. They
heal spontaneously. The lymph nodes
are often involved. The disease is rural
in distribution. The reservoir hosts
are various desert rodents, the gerbil
{Rhombomys opimus) being the most
important. The vector is P. caucasicus,
which lives in the gerbil burrows.
3. Mucocutaneous leishmaniosis or espun-
dia is found in the Brazilian rain for-
ests. It is caused by L. tropica bra-
siliensis, which many authors consider
a separate species, L. brasiliensis.
The skin lesions are chronic and spread-
ing, often invading the mucous mem-
branes either by metastasis or extension,
and sometimes causing great disfigure-
ment. Spontaneous recovery is rare.
The lymph nodes are seldom involved.
Dogs and occasionally cats have been
found naturally infected, but the true res-
ervoir hosts have not been discovered;
they are probably wild jungle mammals.
The retus monkey and various squirrels
can be readily infected, but the golden
hamster is refractory. The vectors are
70
THE HEMOFLAGEUATES
Phlebotomus intermedins (syn. , Pllittzi),
and also probably P. iiiigonei, P. whit-
niani and P. pessoai.
4. Uta occurs in the mountains of Peru.
It is a benign form of the disease,
with numerous small skin lesions. Its
reservoir hosts and vectors are ap-
parently unknown.
5. American forest leishmaniosis, pian
bois or buba is found in Panama, Costa
Rica, the Guianas and other parts of
northern South America. It is caused
by L. Iropica gidaneiisis. The skin
lesions are moderately ulcerated, and
ordinarily heal spontaneously unless
they involve the nose. About 5% of the
patients have lesions of the mucous
membranes which have arisen by ex-
tension rather than by metastasis.
The lymph nodes are involved in about
10%. Dogs may be naturally infected,
but the wild reservoirs are unknown.
The vectors in Venezuela are believed
to be PlilebutoDius evansi, P. niigoiiei,
P. parasinensis and P. siiis.
6. Chiclero ulcer or bay sore is found in
Guatemala, southeastern Mexico and
British Honduras. It gets its name
because it is common among chicle
and rubber hunters in rain forests. It
is caused by L. tropica mexicaiia. The
skin lesions are small. They heal
spontaneously in a few weeks to a few
months unless they involve the ear. In
this location they cause chronic, dis-
figuring nodular ulcers which may per-
sist many years. There is no metas-
tasis to the mucous membranes, and
cutaneous metastases are rare. The
lymph nodes are involved in about 2%.
Nothing is known of the wild reser-
voirs or of the vectors, altho the dis-
ease is clearly a zoonosis (Garnham
and Lewis, 1959).
Both the Old World types of cutaneous
leishmaniosis are zoonoses, but their
epidemiology is quite different. The dry
type is an urban disease common to dogs
and man, while the moist type is a rural
disease of gerbils and other rodents which
affects man more or less incidentally.
The American forms, too, occur primarily
in wild animals, mostly unknown, of the
tropical rain forests; both man and dogs
are secondary hosts.
Pathogenesis : The ulcers or sores
of classical, dry Oriental sore are found
on exposed parts of the body in man. At
first they resemble mosquito bites, but
they do not go away. The lesion grows
slowly, becoming covered with thick brown
scales. It itches a great deal, and scratch-
ing produces a small ulcer which is covered
with a crust. This enlarges slowly, and
may finally be several centimeters in diam-
eter. After some months or a year, con-
nective tissue is formed, but a permanent
scar is left. The disease is very seldom
fatal.
In the central Asian form of the dis-
ease, the lesions are moist. They develop
more rapidly, becoming ulcerative in one
or two weeks, and then heal spontaneously.
Relatively few parasites can be found in
them.
In espundia, the ulcers are often worse
than those of Oriental sore and may last
much longer. They usually heal in 7 to 8
months, but sometimes last more than 20
years. In addition, in some cases they may
extend to the mucosa of the mouth or nose
either directly or by metastasis. When
they do this, they may cause a great deal of
disfigurement; in extreme cases the nose
may even be completely eaten away.
The lesions in the dog are similar to
those in man. They are probably confined
to the skin. Visceral leishmaniosis due to
L. tropica has been reported in dogs, but
many observers believe that these are due
to concurrent infections with L. donovani.
In infected gerbils, cutaneous sores occur
on the ears.
Immunity : Persons who have recov-
ered spontaneously from classical Oriental
sore have a solid immunity. This fact is
so well known among the natives that they
vaccinate themselves on the arm in order
to avoid natural, disfiguring ulcers on the
face. There is no cross-immunity between
the wet and dry Old World types of the
THE HEMOFLAGELLATES
71
disease, between these and the New World
forms, or between L. tropica and L. dono-
vani infections.
Diagnosis : The same methods are
used in diagnosing L. tropica as L. dono-
vaiii infections, except for the tissues ex-
amined. The parasites are usually abun-
dant in dry Oriental sore, but are scanty
in wet Oriental sore and New World muco-
cutaneous leishmaniosis.
A skin test, the Montenegro intrader-
mal reaction, is used with considerable
success in diagnosing American muco-
cutaneous leishmaniosis. A suspension of
killed organisms from NNN culture is in-
jected intradermally. In positive cases,
an erythematous wheal appears in 48 hours
and lasts 4 or 5 days. A small sterile
papule which becomes vesicular or pustu-
lar develops in the center of the wheal.
Treatment : Organic antimony com-
pounds are effective against cutaneous
leishmaniosis. The same ones are used
as for kala-azar.
Control : The same measures used
to prevent kala-azar are effective against
cutaneous leishmaniosis.
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Chapter 4
HISTOMOHAS
Histomonas belongs to the order
Rhizomastigorida, members of which
possess both flagella and pseudopods.
Within this order it belongs to the family
Mastigamoebidae, members of which have
1 to 4 flagella. Histo»ionas is the only
genus in this order occurring in domestic
animals.
Genus HISTOMONAS
Tyzzer, 1920
The body is actively amoeboid,
usually rounded, sometimes elongate,
with a single nucleus, and with 1 to 4 ex-
tremely fine flagella arising from a basal
granule close to the nucleus. A single
species, H. meleagridis is recognized.
HISTOMONAS MELEAGRIDIS
(SMITH, 1895) TYZZER, 1920
Disease : Histomonosis, infectious
enterohepatitis, blackhead.
Hosts : Chicken, turkey, peafowl,
guinea fowl, pheasant, ruffed grouse,
quail, chukar partridge.
Location : Ceca, liver.
Geographic Distribution : Worldwide.
Prevalence : This parasite is prac-
tically ubiquitous in chickens, altho it
seldom causes disease in them. It is one
of the most important causes of disease
in turkeys. Before control measures were
developed, it drove many turkey raisers
out of the business, and even now the United
States Department of Agriculture (1954) has
estimated that it causes an annual loss of
$3,815,000 in turkeys and Sl49,000 in
chickens due to mortality alone.
Morphology : This parasite was first
recognized by Theobald Smith in 1895. He
thought it was an amoeba and named it
accordingly. It was later confused with a
number of other microorganisms. Some
workers thought that it was one of the forms
74 -
HISTOMONAS
75
assumed by a pleomorphic Trichomonas,
others that it was part of the life cycle of
a coccidium, and still others confused it
with the budding fungus, Blastocyslis.
Finally Tyzzer (1919, 1920, 1920a) showed
that the organism was a flagellate and des-
cribed it in detail. His observations have
been confirmed by DeVolt and Davis (1936),
Bishop (1938) and Wenrich (1943) among
others.
H. meleagridis is pleomorphic, its
appearance depending upon its location and
the stage of the disease. The forms in the
tissues have no discernible flagella, altho
there is a basal granule near the nucleus.
Tyzzer described three stages. The in-
vasive stage is found in early cecal and
liver lesions and at the periphery of older
lesions. It is extracellular. It is 8 to
ITjLL long and is actively amoeboid, with
blunt, rounded pseudopods. Its cytoplasm
is basophilic with an outer zone of clear
ectoplasm and finely granular endoplasm.
Food vacuoles containing particles of in-
gested material but no bacteria are pres-
ent.
The vegetative stage is found near the
center of the lesions and in slightly older
lesions than the invasive stage. It is
larger, measuring 12 to 15 by 12 to 21 jj,.
It is less active than the invasive stage
and has few if any cytoplasmic inclusions.
Its cytoplasm is basophilic, clear and
transparent. The vegetative forms are
often packed tightly together, and cause
disruption of the tissues.
Tyzzer called the third form the re-
sistant stage, but it is actually no more
resistant than the other stages. There
are no cysts. This form is 4 to 11 fi in
diameter, compact, and seems to be en-
closed in a dense membrane. The cyto-
plasm is acidophilic and filled with small
granules or globules. These forms may
be found singly or they may be packed to-
gether so that their outlines appear rather
angular. They, too, are extracellular,
but they may be taken up by phagocytes or
giant cells.
A fourth form of the parasite is fla-
gellated and occurs in the lumen of the
ceca. The same form is found in cultures.
Its body is amoeboid and may be 5 to 30 [^
in diameter. Wenrich (1943) found that
Fig. 5. Histoiiionas meleagridis tropho-
zoites from cecum. A. Living
trophozoite. B. , C. , D. Tropho-
zoites fixed in Schaudinn's fluid
and stained with iron-alum hema-
toxylin. X 2300 (From Wenrich,
1943, J. Morph. 72:279)
400 individuals from the ceca of 2 phea-
sants measured 9 to 28 /i in diameter with
a mean of 13.9fi, and that 400 individuals
from the ceca of 2 chickens measured 5 to
18 JJ, in diameter with a mean of 7. 9 |j. .
The cytoplasm is usually composed of a
clear, outer ectosarc and a coarsely gran-
ular endosarc. It may contain bacteria,
starch grains and other food particles, in-
cluding an occasional red blood cell. The
nucleus is often vesicular, with a single
dense karyosome, or it may contain as
many as 8 scattered chromatin granules.
Near the nucleus is a basal granule or
blepharoplast from which the flagella a-
rise. There is typically a single, short
flagellum, but as many as 4 may be pres-
ent. Movement may be amoeboid, and
there may be a pulsating, rhythmic,
76
HISTOMONAS
intracytoplasmic movement. The flagella
produce a characteristic, jerky, oscillat-
ing movement resembling that of tricho-
monads, but Hislomonas can be differen-
tiated from them because it lacks an
undulating membrane and cixostyle.
Wenrich (1943) found peculiar, cylindrical
feeding tubes in about 15"( of the individuals
from one of the 2 pheasants he examined
and also in some individuals from a chicken.
These sometimes extended out as much as
the body diameter and often had internal
extensions as long or longer.
This form is sometimes present in
large numbers in the lumen of the ceca,
but it is ordinarily absent or very difficult
to find.
Life Cycle : Reproduction is by binary
fission, and there is no evidence of a sex-
ual cycle. Wenrich (1943) considered the
larger, 4-flagellate forms in the ceca to
be adult. There are no cysts.
The naked trophozoites are delicate
and do not survive more than a few hours
when passed in the feces. Turkeys can be
infected by ingesting trophozoites, and this
mode of infection plays a part in transmit-
ting the parasites once disease has ap-
peared in a flock (Tyzzer and Collier,
1925). However, large numbers of the
parasites must be ingested. Tyzzer (1934)
pointed out that oral infection with infected
liver tissue or cecal discharges is some-
what unreliable because of the death of the
protozoa during their passage thru the al-
imentary tract. Lund (1956) found that
oral administration of 10,000 to 100,000
protozoa in saline caused infections in
about 40% of 6- to 9-week-old poults, and
illness in about 20%. However, when di-
gestible materials were added to the inoc-
ulum, the infection and morbidity rates
fell sharply. The protozoa remained in
the gizzard and upper intestine longer in
the presence of food, and were destroyed
before they reached the cecum. Horton-
Smith and Long (1956a) found that infections
with trophozoite suspensions could be pro-
duced only in starved chickens or, in
chickens that were feeding, by giving them
an alkaline mixture just before dosing
them. They believed that successful in-
fection depends on the pH of the gizzard
and possibly upper intestine. The pH of
the starved gizzard is 6. 3 to 7. 0, that of
chickens on feed is 2. 9 to 3. 3, and that of
chickens on feed which have received
alkali is 6. 2 to 6. 5.
By far the most important mode of
transmission is in the eggs of the cecal
worm, Heterakis galli)iariim. Its discov-
ery by Smith and Graybill (1920) was a
milestone in the history of parasitology.
This mode of transmission has been amply
confirmed by many workers, and is the
preferred method of producing experimental
infections (Tyzzer and Fabyan, 1922; Tyzzer,
1926; Swales, 1948; McKay and Morehouse,
1948; Lund and Burtner, 1958). The para-
sites are carried inside the Heterakis eggs;
eggs treated with disinfectants or other
chemicals which do not kill them are still
infective.
Infection of Heterakis eggs is so wide-
spread that Histouionas infections can be
produced with batches of eggs taken from a
very high percentage of turkeys or chickens
even if the hosts do not appear sick. Not
every egg is infected, however. Lund and
Burtner (1957) found that less than 0. 5% of
the embryonated eggs from experimentally
infected chickens contained the protozoa,
that less than half of the cecal worms they
examined from these birds contained Hist-
o)iiuiias -iniected eggs, and that positive
worms contained an average of only 2 in-
fected eggs each.
The Heterakis eggs must hatch and
liberate larvae in order to transmit the
protozoa. Histomonas has never been seen
in the infective eggs, its presence being
inferred from the experimental results.
However, Tyzzer (1926) found the protozoa
in half-grown Heterakis from birds with
histomonosis, and (1934) in the cells of the
intestinal wall of 10-, 12-, and 21 -day old
worms from experimentally infected birds,
and Kendall (1959) found them in a 4-day -
old H. galluiarum larva.
The possibility that arthropods may
transmit histomonosis has been considered
by a number of authors. Mechanical trans-
mission by flies and even grasshoppers is
HISTOMONAS
77
possible (Frank, 1953), but it is of minor
importance.
Epidemiology: Histomonas is ex-
tremely common in Heterakis-irdecieA
chickens, and these birds constitute the
principal reservoir of infection for turkeys.
This accounts for the fact that it is almost
impossible to raise turkeys successfully
on the same farm with chickens. In addi-
tion, wild gallinaceous birds such as the
wild turkey, pheasant, quail and ruffed
grouse may be infected, but their role as
reservoirs of infection for domestic tur-
keys has not been properly assessed.
Birds become infected most commonly
by ingesting infected Heterakis eggs. In-
fective eggs can survive for one to two
years or even longer in the soil. Farr
(1956) infected chickens and turkeys with
Hisfonioiias from eggs which had been in
the soil in Maryland for 66 weeks.
Pathogenesis : Histomonosis can
affect turkeys of all ages; the course and
mortality of the disease vary with age.
Poults less than 3 weeks old are refrac-
tory according to Swales and Frank (1948),
but from this age to about 12 weeks, the
disease is acute and may cause losses
averaging 50% of the flock and ranging up
to 100%. The birds often die 2 or 3 days
after showing the first signs of disease.
In older birds, the disease is more chronic,
and recovery may take place. The mortal-
ity decreases with age, and losses in these
birds rarely exceed 25%. However, even
birds of breeding age may be affected.
Chickens are much less susceptible
than turkeys. They ordinarily show no
signs of disease, but serious outbreaks
may occur in young birds. Histomonosis
occasionally occurs in the peafowl (Gray-
bill, 1925; Dickinson, 1930), guinea fowl
(Graybill, 1925) and quail (GraybiU, 1925).
Serious outbreaks may occur in captive
ruffed grouse (Tyzzer and Fabyan, 1920;
Graybill, 1925) and chukar partridges
(Honess, 1956). Altho the parasite occurs
in pheasants, it is apparently not very
pathogenic for them.
When the histomonads are released
in the cecum, they enter the wall and
multiply, causing characteristic lesions.
Later they pass by way of the blood stream
to the liver.
The incubation period is 15 to 21 days.
The first sign of disease is droopiness.
The birds appear weak and drov/sy, and
stand with lowered head, ruffled feathers
and drooping wings and tail. There is a
sulfur-colored diarrhea. The head may
or may not become darkened. This sign,
which is responsible for the name black-
head, may also occur in other diseases,
so the term is a misnomer.
The principal lesions of histomonosis
occur in the cecum and liver. One or both
ceca may be affected. Small, raised pin-
point ulcers containing the parasites are
formed first. These enlarge and may in-
volve the whole cecal mucosa. Sometimes
the ulcers perforate the cecal wall and
cause peritonitis or adhesions. The mu-
cosa becomes thickened and necrotic. It
may be covered with a characteristic, foul-
smelling, yellowish exudate which may
consolidate to form a dry, hard, cheesy
plug that fills the cecum and adheres
tightly to its wall. The ceca are markedly
inflamed and often enlarged.
The liver lesions are pathognomonic o
They are circular, depressed, yellowish
to yellowish green areas of necrosis and
tissue degeneration. They are not encap-
sulated, but merge with the healthy tissue.
They vary in diameter up to a centimeter
or more and extend deeply into the liver.
In older birds the lesions are often con-
fluent.
Other organs such as the kidney and
lung may occasionally be affected. P. P.
Levine (1947), for example, described
numerous white, round areas about 1 mm
in diameter in the kidneys of an affected
turkey.
The parasites can be readily found on
histologic examination of the lesions. Hy-
peremia, hemorrhage, lymphocytic infil-
tration, and necrosis occur, and macro-
phages and giant cells are present. The
pathology of histomonosis in turkeys has
been described by Malewitz, Runnels and
Calhoun (1958) among others.
78
HISTOMONAS
McGuire and Cavett (1952) studied the
effect of histomonosis on the blood picture
of experimentally infected turkeys. The
non-protein nitrogen, uric acid and hemo-
globin levels declined progressively, but
tended to recover just before death. The
blood sugar rose during the incubation
period but decreased during development
of the liver lesions; severe hypoglycemia
was present just before death. The total
leucocyte count rose as the result of pro-
liferation of heterophils, myelocytes and
monocytes.
If the birds recover, the protozoa dis-
appear from the tissues, and repair takes
place. The exudate and necrotic tissue in
the ceca are incorporated into the cecal
plug, which becomes smaller and is finally
passed. U the lesions were not too severe,
the ceca may eventually appear entirely
normal, but in other cases there may be
so much scarring that the lumen is oblit-
erated. In the repair process, the lesions
are invaded by blood vessels, lymphoid
cells and connective tissue. The liver
lesions may be completely repaired or
there may be extensive scar tissue.
Immunity : Birds which recover from
histomonosis are immune to reinfection.
In addition, as mentioned above, suscep-
tibility decreases with age.
Lund (1959) found that infection of tur-
keys with a nonpathogenic strain of Histo-
monas did not protect the birds against
subsequent infection with a pathogenic
strain introduced by feeding Heterakis eggs,
altho it did afford some protection against
rectally introduced pathogenic histomonads.
Diagnosis : Histomonosis can be di-
agnosed from its lesions. Those in the
liver are pathognomonic. In case of doubt
and in order to differentiate the liver le-
sions from those caused by tumors, tuber-
culosis or mycotic infections, histologic
examination is desirable. The cecal le-
sions can be distinguished from those
caused by coccidia by microscopic exam-
ination of scrapings from the mucosa.
Cultivation : Histomonas was first
cultivated by Drbohlav (1924) in a diphasic
medium consisting of coagulated egg white
slants overlaid with blood bouillon contain-
ing 1% peptone. It has since been culti-
vated in a number of other media, both di-
phasic and monophasic (Tyzzer, 1934;
De Volt and Davis, 1936; Bishop, 1938).
Delappe (1953, 1953a) found that addition
of penicillin or streptomycin or both to
Laidlaw's culture medium facilitated the
initial isolation of the protozoa, but he was
unable to obtain axenic cultures. When the
bacteria disappeared, the protozoa did
likewise.
Treatment: Since histomonosis can
be prevented by proper management, drug
therapy should be regarded as a secondary
line of defense against the disease. The
chemotherapy of this disease has been re-
viewed by Wehr, Farr and McLoughlin
(1958).
While a number of phenylarsonic acid
and quinoline derivatives have been used
with some success in the past, the only
one of them which is now used to any extent
is 4-nitrophenylarsonic acid. When fed as
0.0125 to 0.075% of the mash or 0.006 to
0. 04% of the drinking water for 3 days be-
fore and 21 days after experimental infec-
tion, this compound prevents death. How-
ever, there is a high relapse rate following
cessation of treatment. Hence, to be effec-
tive this compound must be fed continuously
until 5 days before slaughter. Mashes con-
taining 0.01 to 0.03% of this compound
stimulate growth, but 0.02% in the drinking
water decreases egg production of adults
and growth and livability of poults (Moreng
and Bryant, 1956).
Thiazole derivatives are used most
commonly against histomonosis. Three of
these are enheptin, acetylenheptin, and
nithiazide (Hepzide). The first is 2-amino-
5-nitrothiazole, and the other two are de-
rivatives of it. Enheptin was introduced
by Waletzky, Clark and Marson (1950),
and its activity was confirmed by a number
of workers, including McGregor (1953),
Jungherr and Winn (1950), DeVolt, Tromba
and Hoist (1954), and Joyner and Kendall
(1955). Acetylenheptin (2-acetylamino-5-
nitrothiazole) was found by Grumbles,
Boney and Turk (1952, 1952a, 1952b) to be
just as effective as enheptin; it was also
studied by Brander and Wood (1955) and
HISTOMONAS
79
Cooper and Skulski (1957) among others.
Nithiazide (l-ethyl-3-[ 5-nitro-2-thiazolyl]
urea) was introduced by Cuckler et al.
(1956, 1957) and Cuckler and Malanga
(1956).
These drugs have both prophylactic,
suppressive and therapeutic value. En-
heptin is usually fed continuously in the
mash at the rate of 0.05% for prevention
and suppression. If feeding is begun
within 2 days after the infective dose of
Histomonas is given in an experimental
infection, it will almost completely pre-
vent the disease. If it is begun later than
this, it will suppress the disease as long
as it is continued, but after it is withdrawn,
histomonosis will reappear in the flock.
If enheptin is to be used in treating turkeys
which already show signs of disease, 0. 1
to 0. 2% of the drug is mixed in the feed.
Not all the birds will recover, but quite a
high percentage do. Acetylenheptin is
used in much the same way. The preven-
tive level of nithiazide in the feed recom-
mended by the manufacturer in 1958 was
0.03%.
Potential hazards are often associ-
ated with feeding drugs continuously.
Hudson and Pino (1952) and Pino, Rosen-
blatt and Hudson (1954) found that enheptin
prevented or delayed sexual maturity in
chickens and turkeys. When fed in the
ration to chickens, it produced complete -
sexual involution or inhibition in both
males and females. In young birds, sex-
ual development did not take place, while
in older ones the testes, ovary and oviduct
atrophied. The effect was less marked in
turkeys, altho 0.1% enheptin in the ration
reduced the level of reproductive perform-
ance. This effect was found to be due to
inhibition of gonadotropin secretion by the
pituitary, and could be counteracted, at
least in part, by simultaneous administra-
tion of gonadotropic hormone. Shellabar-
ger and Schatzlein (1955) found that enhep-
tin caused rats to have larger thyroid
glands and to accumulate less iodine than
normal rats. They suggested that these
antithyroid properties might explain why
enheptin inhibits the secretion of pituitary
gonadotropin in the chicken.
Grumbles, Boney and Turk (1952)
and Cooper and Skulski (1957) compared
enheptin with acetylenheptin. The former
found that 0. 1% enheptin in the feed reduced
production, fertility and hatchability in tur-
keys, but that acetylenheptin had no such
effect. The latter found that enheptin de-
creased spermatogenesis and egg produc-
tion and increased embryo mortality when
fed to chickens at preventive levels. Acet-
ylenheptin was less toxic. It had no effect
on egg production, fertility or embryo
mortality, and reduced sperm production
only slightly.
According to Cuckler, Porter and Ott
(1957), 0.1% nithiazide in the feed did not
interfere with growth, maturation or re-
production of chickens or turkeys.
The nitrofuran, furazolidone (NF-180,
Furoxone), was found by McGregor
(1953a, 1954), Horton-Smith and Long
(1955, 1956) and Costello and DeVolt (1956)
to suppress histomonosis when fed at the
rate of 0. 01 to 0. 04% in the feed. Even
with the higher doses, however, some re-
lapses occurred after medication was
stopped, and slight lesions were found in
treated birds killed during the experiments.
Cooper (1956) reported that feeding
0. 02% furazolidone to pullets for 12 weeks
had no effect on body weight, egg produc-
tion, fertility or hatchability, but Cooper
and Skulski (1955, 1956) found that feeding
this drug to cockerels and roosters re-
duced the number of spermatozoa and de-
creased weight gains.
Control : Histomonosis can be pre-
vented by good management. Turkeys
should be kept separate from chickens,
since chickens are carriers. Young tur-
keys should be kept separate from adults.
The same attendants should not care for
chickens and turkeys. Persons who go
from one flock to another should take care
not to carry the infection on contaminated
shoes or equipment.
Young birds should be raised on hard-
ware cloth, and the droppings should be
removed regularly. When the poults are
80
HISTOMONAS
old enough to move onto range, they should
be placed on clean ground where neither
turkeys nor chickens have been kept for 2
years. The length of time infective cecal
worm eggs survive in the soil depends upon
soil type, weather and amount of cover
provided by vegetation. They will survive
only a few weeks on barren soils in warm,
dry regions, but may remain alive for
several years in heavy soils in moist cli-
mates.
roughage. The medicated ration is given
for 5 to 7 days, the regular ration is fed
for about 15 days, the medicated ration is
then given again and alternated as before
with regular feed until about 3 weeks be-
fore the birds are to be marketed. Pheno-
thiazine should not be fed during these 3
weeks.
LITERATURE CITED
The range should be rotated at regular
intervals. Different farmers use different
intervals. Many of them move the birds
along every week, not returning to the
same place during the same season. An-
other rotation system which has been rec-
ommended is to move the birds thru a
series of 4 lots, allowing them to remain
on each for a month. The frequency of ro-
tation depends on the climate. In cool,
damp climates the birds should be moved
at least every 10 days, but in hot, dry
climates they need be moved less frequent-
ly, and it is even possible to raise turkeys
successfully without changing the range if
the area around the feeders, waterers,
roosts and shelters is kept dry.
Low areas and streams that drain
poultry yards should be fenced off.
The feeders and waterers should be
placed on wire platforms. Most of the
droppings are deposited around them, and
this practice keeps the turkeys from getting
at them. Wire should also be used beneath
roosts and in shelters to keep the birds
from their droppings.
Treating the birds with phenothiazine
to prevent histomonosis by killing the
cecal worms has been suggested. It is in-
effective in controlling active outbreaks,
but may help prevent future ones. Pheno-
thiazine kills the cecal worms, but does
not prevent their eggs from hatching and
releasing the histomonads (Wehr and
Olivier, 1946).
To eliminate Heterakis, 0. 5% pheno-
thiazine is mixed with the feed if the birds
are not getting roughage, and 1.0% if they
are on good range or getting supplementary
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3:720-721.
Wehr, E. E. , M. M. Farr and D. K. McLoughlin. 1958.
]. Am. Vet. Med. Assoc. 132:439-445.
Wehr, E. E. and L. G. Olivier. 1946. Poult. Sci. 25:199-203.
Wenrich, D. H. 1943. ]. Morph. 72:279-303.
Chapter 5
WE
TRICHOmUdS
The trichomonads belong to the family
Trichomonadidae within the order Trich-
omonadorida. The body is usually piriform,
with a rounded anterior end and a pointed
posterior end. There is a single nucleus
in the anterior part of the body. Anterior
to the nucleus is a blepharuplasl composed
of several basal granules . Two to five
anterior flagella and a posterior flagellum
arise from the blepharoplast. The posterior
flagellum passes along the border of an iin-
dHlati)ig me»ibrane which extends along the
side of the body; a secondary or accessory
filament may be associated with it. The
posterior flagellum may or may not extend
beyond the undulating membrane as a free
flagellum. A filamentous costa arises from
the blepharoplast and runs along the base of
the undulating membrane. A parabasal
body arises from the blepharoplast; there
may or may not be a parabasal filament
at its posterior end. A clear, rod-like
axostyle also arises from the blepharoplast
and passes thru the center of the body to
emerge from the posterior end. The an-
terior end of the axostyle is enlarged to
form a capitulum. There may or may not
be a chromatic ring at the point of emer-
gence of the axostyle. There may or may
not be a cytostome near the anterior end.
Just anterior to the blepharoplast and lying
along the anterior margin of the body is a
pelta which stains with silver. In addition
to these structures, there may be various
granules within or along the axostyle,
along the costa, or in other locations.
An electron micrograph study of
Tritrichomonas muris by Anderson (1955)
revealed the fine structures of these or-
ganelles which may be taken to represent
the group. He found that the blepharoplast
appears to be limited by a membrane and
to contain basal granules for each organelle.
The anterior and posterior flagella are
composed of 2 central and 9 peripheral
fibrils. The accessory filament is com-
posed of two differentiated meshwork
areas. The undulating membrane is com-
posed of a series of lamellae 300 to 400 A
thick; it is attached to the outer surface of
the body by fine fibers 167 to 300 A thick.
82 -
THE TRICHOMONADS
83
PARABASAL BODY
COSTA
PARABASAL
FILAMENT
UNDULATING
MEMBRANE
FREE FLAGELLUM
CHROMATIC RING
TRICHOMONAS
Fig. 6. Structures of Tyicliomonas. (Original)
The costa consists of a series of discs
about 370 A thick and 490 A apart, em-
bedded in a matrix; it is attached to the
inner surface of the body wall by exten-
sions of the discs. The axostyle is lim-
ited by a double, corrugated membrane.
The chromatic ring is composed of a series
of rods about 640 A thick. The parabasal
body consists of a series of filaments about
190 A thick. The chromatic granules along
the costa, inside the axostyle and scattered
in the cytoplasm are irregular in shape and
vacuolated. The mitochondria are spher-
ical and contain a varying number of pro-
jections internally.
Trichomonads are divided into sev-
eral genera on the basis of the number of
their anterior flagella. Ditrichomonas
has 2, Tritrichomonas has 3, Trichomonas
has 4, and Pentatrichonionas has 5. These
genera are closely related; Mehra, Levine
and Reber (1960), for example, found in a
column chromatographic study of the hy-
drolysates of Tritrichomonas foetus , T.
suis, Trichomonas gallinae, T. galli-
narum and T. buttreyi, that they are all
composed of the same amino acids but that
there are some differences in the amounts
of each amino acid present in the different
species.
Gabel (1954) established the genus
Paratrichomonas for P. marmotae from
the woodchuck and possibly T. batrachorum
from the frog. Paratrichomonas differs
from Tritrichomonas orincipally in having
a ring-shaped parabasal body. T. buttreyi
of the pig resembles it, but has 4 anterior
flagella. There does not seem to be suf-
ficient justification for accepting this genus,
at least at present.
Morgan (1943, 1946) and Trussell (1947)
have given host-parasite lists of the trich-
omonad species.
There are several species of tricho-
monads in domestic animals and man, but
the nomenclatorial status and host-parasite
relations of many of them are not yet clear.
They have been found in the cecum and
colon of practically every species of mam-
mal or bird that has been examined for
them, and they also occur in reptiles, am-
phibia, fish and many invertebrates. Those
in the termite gut are particularly well
known. Many of the cecal trichomonads
look alike, and cross-transmission studies
have shown that many of them can be easily
transmitted from one host species to an-
other. Some mammalian trichomonads
have even been transmitted successfully to
day-old chicks, altho they will not become
established in older birds. Further and
extensive studies are needed to establish
the correct names and host spectra of all
but a few trichomonads.
Most trichomonads are non- pathogenic
commensals, but a few are important path-
ogens. None of the cecal trichomonads has
ever been proven to be pathogenic, altho
some people have thought that they were
because they were found in animals which
had enteritis or diarrhea. However, the
mere presence of an organism in a diseased
animal does not mean that the organism
caused the disease. The latter may have
set up conditions favorable to the organism's
growth and multiplication. This is espe-
cially true of the cecal trichomonads, which
flourish in a fluid or semi-fluid habitat.
84
THE TRICHOMONADS
The life cycle of trichomonads is sim-
ple. They reproduce by longitudinal binary
fission. No sexual stages are known.
There are no cysts, altho degenerating or
phagocytized individuals (or entirely dif-
ferent organisms such as Blaslocyslis)
have been mistaken for them.
Genus TRITRICHOMONAS
Kofoid, 1920
Members of this genus have 3 anterior
flagella.
TRITRICHOMONAS FOETUS
(RIEDMULLER, 1928)
WENRICH AND EMMERSON, 1933
Synonyms : Trichomonas utero-
vaginalis vilulae, T. bovis, T. genitalis,
T. bovinus, T. mazzanti.
Disease : Bovine trichomonad abor-
tion, bovine genital trichomonosis.
Hosts : Ox, zebu, possibly pig,
horse, roe deer.
productive disorders in cows bred by in-
fected western range bulls may amount to
about S800 annually per infected bull. On
this basis, the 23 infected bulls they found
in their survey would cost their owners
about $18,000 a year. The annual loss due
to an infected bull in an artificial insemin-
ation ring would be considerably greater
than this.
Morphology : The morphology of T.
foetus has been studied by Wenrich and
Emmerson (1933), Kirby (1951) and Ludvik
(1954), among others. The body is spin-
dle- to pear-shaped, 10 to 25/i long and
3 to 15|U wide. It has 3 anterior flagella
and a posterior flagellum which trails as
a free flagellum about as long as the an-
terior flagella. The undulating membrane
extends almost the full length of the body
and has an accessory filament along its
margin. The costa is prominent. The
axostyle is thick and hyaline, with a cap-
itulum containing endoaxostylar granules
and a chromatic ring at its point of emer-
gence from the posterior end of the body.
The parabasal body is sausage- or ring-
shaped. A cytostome is present. There
is no pelta.
Location : Genital tract.
Geographic Distribution : Worldwide.
Morgan and Beach (1942) mapped the geo-
graphic distribution of bovine trichomon-
osis.
Prevalence : Altho T. foetus is
known to be widely distributed, few studies
have been made of its incidence. It is
especially common in southern Germany
and Switzerland, up to 30% of the cattle
having been found infected in some areas.
In the U. S. , it is probably third to brucel-
losis and leptospirosis as a cause of abor-
tion in cattle. In a survey of 383 beef
bulls in Utah, Idaho and Colorado, Fitz-
gerald et at. (1958) found 6% to be infected.
The USDA Agricultural Research Serv-
ice (1954) estimated that bovine trichomon-
osis causes an annual loss of $750,000 in
the United States. This figure is probably
low. Fitzgerald et at. (1958) estimated
that losses in production because of re-
Fig. 7.
Tyilrichomonas foetus. X 3400
(From Wenrich and Emmerson,
1933, J. Morph. 55:193)
Pathogenesis : A great deal has been
written about bovine trichomonosis.
THE TRICHOMONADS
85
Morgan's (1946) review listed 447 refer-
ences, and many more papers have been
published since then. Among more recent
papers on its pathogenesis are those of
Morgan (1947), Bartlett (1947), Bartlett
and Dikmans (1949), Bartlett, Moist and
Spurrell (1953), Laing (1956) and Gabel
et al. (1956).
Bovine trichomonosis is a venereal
disease, transmitted by coitus. It can
also be transmitted by artificial insemin-
ation. Non-venereal transmission is very
rare under natural conditions. After in-
fection of the female, the trichomonads
multiply at first in the vagina, causing a
vaginitis. They are most numerous here
14 to 18 days after infection (Hammond
and Bartlett, 1945). They invade the
uterus thru the cervix. They may disap-
pear from the vagina or they may remain
there, producing low-grade inflammation
and catarrh.
Early abortion is characteristic of
bovine trichomonosis. Abortion usually
occurs 1 to 16 weeks after breeding. The
foetus is often so small that it is not ob-
served by the owner, and he does not
realize that abortion has occurred, be-
lieving that the animal failed to conceive
and that its heat periods are irregular.
Morgan and Hawkins (1952) knew of only
6 reports in the literature of abortion due
to T. foetus after 6 months gestation.
If the placenta and fetal membranes
are completely eliminated following abor-
tion, the animal usually recovers spon-
taneously. This is the most common
course. If, however, part of the placenta
or membranes remain, a chronic catar-
rhal or purulent endometritis results which
which may cause permanent sterility.
Sometimes the animal does not abort,
but the fetus dies and becomes macerated
in the uterus. Pyometra results, and the
uterus may contain several quarts of a
thin, greyish white fluid swarming with
trichomonads. In the absence of bacteria,
this fluid is almost odorless. The cervi-
cal seal may remain intact or it may allow
a small amount of fluid to escape when the
animal is lying down. Animals with pyo-
metra seldom come in heat, and the owner
may believe them to be pregnant. In long-
standing cases, the trichomonads may
disappear from the uterine fluid.
Occasionally normal gestation and
calving may occur in an infected animal,
but this is rare.
In the bull, the most common site of
infection is the preputial cavity, altho the
testes, epididymis and seminal vesicles
may sometimes be involved. Spontaneous
recovery is rare; bulls remain infected
permanently unless treated. The numbers
of trichomonads fluctuate, the intervals
between peaks being 5 to 10 days according
to Hammond el al. (1950).
Immunology: Cows or heifers which
recover from infection are usually rela-
tively immune, altho reinfections can occur.
A number of investigators have studied
various immunological responses to trich-
omonad infection. Kerr and Robertson
(1945) showed that there is more than one
serological strain of T. foetus. McEnte-
gart (1956) found that T. foetus var. belfast
and T. foetus var. )uaiiley differed sero-
logically from each other and from T.
vaginalis. Menolasino and Hartman (1954)
were unable to distinguish T. foetus from
T. vaginalis serologically, but McDonald
and Tatum (1948) and Schoenherr (1956)
were able to do so. Both also found sero-
logical differences between T.foetus and
Pentatyicho>no)ias lioiiiiiiis, and the latter
between T. /oe/;(S and T richonionas gal-
liuae. Sanborn (1955) found that T. foetus
differed serologically from the large pig
cecal trichomonad, T. suis and from the
pig nasal trichomonad.
Kerr and Robertson (1941, 1943) and
Pierce (1947) studied the agglutination test
in cattle, and Feinberg (1952) described a
capillary agglutination test. Kerr (1943)
felt that his test was positive in about 60%
of all infected cattle, but Morgan (1943a)
considered it impractical. The wide dis-
tribution in the animal kingdom of non-
specific antibodies against T. foetus was
brought out by Morgan (1944), who showed
that the sera of the carp, horned lizard
86
THE TRICHOMONADS
and leopard frog agglutinated T. foetus at
1:2, those of the gold fish, pigeon and
domestic rabbit at 1:4, those of the guinea
fowl and chicken at 1:8, those of the turkey
and sheep at 1:16, those of deer and goat
at 1:32, that of the cow at 1:128 and that
of the horse at 1:1024.
Nakabayasi (1952) distinguished be-
tween agglutination and agglomeration.
With immune rabbit and infected guinea
pig sera, agglomeration reached its max-
imum within 30 minutes and then decreased
gradually as the agglomerated individuals
separated. On the other hand, the agglu-
tination reaction reached its maximum
within about an hour and did not reverse.
Levine et al. (unpublished) have seen ag-
glomeration of T. foetus following mixture
with fresh culture media containing inac-
tivated serum.
Kerr and Robertson (1954, 1956)
found "normal agglutinin" in the blood of
calves which they apparently acquired in
the colostrum; this agglutinin disappeared
after 17 to 55 days. Injection of calves
less than 4 weeks old did not induce anti-
body formation, but instead caused im-
pairment of antibody production (immuno-
logical paralysis) which persisted for
about 2 years.
Complement fixation and precipitin
reactions have been studied, but with un-
satisfactory results (Svec, 1944; Morgan,
1948).
Kerr (1944) developed an intradermal
test, using a trichloracetic acid-precip-
itated extract of T. foetus called "tricin. "
Positive reactions appear in 10 minutes,
reach their peak within 30 minutes and
disappear in about 6 hours. Fifty of 592
cows at an abattoir were positive to this
test, and trichomonads were found in 11
of them on direct examination. Tricho-
monads were also found in 11 of 34 bulls
which were positive to the skin test.
Morgan (1948) obtained negative results
with skin tests with a number of different
antigens. Kerr, McGirr and Robertson
(1949) found that cattle could be desensi-
tized to the skin test by injecting antigen
intramuscularly, instilling it into the
uterus of non-pregnant cows, or by inject-
ing adreno-cortical hormone or sphingo-
myelin at parturition. Absorption of
antigen from acute uterine infections also
desensitized the animals.
A local immune reaction takes place
in the vaginal mucosa of infected animals.
In addition, the uterine mucosa is sensi-
tized (Kerr and Robertson, 1953). The
presence of agglutinins in the vaginal
mucus prompted the development of a
mucus agglutination diagnostic test by
Pierce (1947a, 1949) and Florent (1947,
1948, 1957). This test is considerably
better than the blood agglutination test,
but, according to Pierce (1949), must still
be regarded as only a herd test because a
number of infected animals fail to react.
Unsatisfactory results are obtained with
estral and post-estral vaginal mucus and
with purulent uterine mucus containing
trichomonads. Mucus from pregnant an-
imals sometimes gives a false positive
reaction. Schneider (1952), too, consid-
ered the mucus agglutination test simply
an adjunct to other means of diagnosis.
Morgan (1947a) found that a series of
16 intramuscular or intravenous injec-
tions with living T. foetus over a period of
3 months apparently protected heifers
temporarily against genital infection, but
6 intramuscular injections over a period
of 3 weeks did not. This does not appear
to be a practical method of prevention.
Epidemiology : Bovine trichomonosis
is a venereal disease transmitted at coitus.
T. foetus is known to occur in cattle, but
whether it is also present in other animals
and whether it may be transmitted from
them to cattle by a non-venereal route re-
main to be determined.
With the introduction of the technic of
preserving bovine semen by freezing in
the presence of glycerol, the question arose
whether T. foetus would survive in frozen
semen. Several investigators have studied
the problem, and have found that the pro-
tozoa may or may not survive freezing in
the presence of glycerol, depending on the
conditions (see Levine, Mizell and Houla-
han, 1958 for a review of the literature).
THE TRICHOMONADS
87
They survive in some media but not in
others. Rapid freezing and high salt con-
centration are deleterious (Levine and
Marquardt, 1955; Levine, Mizell and
Houlahan, 1958). The stage of the popu-
lation growth curve is important, the pro-
tozoa being much more sensitive to injury
when frozen during the initial and logarith-
mic phases than at the peak of the curve
and for some time thereafter (Levine,
McCaul and Mizell, 1959). Temperature
fluctuation during storage is deleterious
(Fitzgerald and Levine, 1961).
A particularly interesting fact is that
glycerol appears to be toxic at refrigerator
temperatures but not at either sub-freezing
or incubator (37° C) temperatures (Joyner,
1954; Joyner and Bennett, 1956; Fitzgerald
and Levine, 1961). It may be possible to
develop a technic for freezing semen which
would be sure to kill the protozoa, but at
present the use of frozen semen from in-
fected bulls cannot be recommended.
Many different laboratory animals
can be infected experimentally in various
ways with T. foetus (see Morgan, 1946 for
review). Leaving aside other routes of
infection, successful vaginal infections
with T. foetus have been established in
the rabbit by Witte (1933) and others, in
the guinea pig by Riedmuller (1928) and
several others, in the golden hamster by
Kradolfer (1954) and Uhlenhuth and
Schoenherr (1955), in the dog by Trussell
and McNutt (1941), in the goat by Wittfogel
(1935) and Hammond and Leidl (1957), in
the sheep by Wittfogel (1935) and Andrews
and Rees (1936), and in the pig by Ham-
mond and Leidl (1957). The golden ham-
ster is the laboratory animal of choice for
experimental vaginal infections. Abortions
were produced in some of the infected
guinea pigs. Laboratory mice and rats
are refractory to vaginal infection.
Kijst (1936) found trichomonads simi-
lar to T. foetus in the genital tract and
aborted fetuses of swine and horses in
Germany. Petersen (1937) cultured trich-
omonads resembling T. foetus from the
genital tracts of 13 mares with pyometra.
He also found an infected stallion which
had transmitted trichomonads to mares.
Schoop and Oehlkers (1939) also found
trichomonads in the genital tract of horses.
Schoop and Stolz (1939) found trichomonads
resembling T. foetus in the uteri of 4 out
of 5 roe deer in Germany. The infections
were associated with sterility, and the
trichomonads produced vaginitis in guinea
pigs. Schoop (1940) suggested that if the
trichomonads from deer were T. foetus,
deer might be a source of infection for
cattle.
The relation of T. foetus to the trich-
omonads of swine still remains to be elu-
cidated. The pig nasal trichomonad,
TritricJioiuoiias suis, greatly resembles
T. foetus morphologically (Buttrey, 1956)
and in metabolic characteristics (Doran,
1957, 1959), and vaginal infections were
readily established in cattle with it by
Switzer (1951) and Fitzgerald et at. (1958).
The infection reported by Switzer lasted 3
weeks and was accompanied by a mild
catarrhal vaginitis. Those reported by
Fitzgerald et al. lasted 46 to 133 days,
and some infections appeared to interfere
with breeding efficiency.
Vaginal infections of cattle with trich-
omonads from the cecum and stomach of
swine have also been readily established
(Switzer, 1951; Hammond and Leidl,
1957a; Fitzgerald e/ aZ. , 1958), and the
latter two authors reported that bulls be-
came infected by breeding infected heifers
and then transmitted their infections to
other heifers. The bulls later recovered
spontaneously in both studies. Kerr (1958),
too, infected heifers intravaginally with
trichomonad from swine, using both strains
obtained from Hammond and a strain of
T. suis isolated in England. He found that
the vaginal mucus agglutination test of
heifers infected with porcine trichomonads
was positive with T. suis and Belfast strain
T. foetus antigens but not with Manley
strain T. foetus antigen.
In the other direction, Fitzgerald et al.
(1958) produced cecal infections with T.
foetus in young pigs.
Robertson (1960) made a serologic
comparison of the Belfast and Manley
strains of T. foetus and Strains S2 and 414
88
THE TRICHOMONADS
of T. siiis, isolated by Hammond and
Leidl from the ceca of pigs in Germany
and Utah, respectively. Using both the
tube agglutination and precipitin tests and
especially the gel diffusion precipitin test,
she found considerable cross-reaction be-
tween the 4 strains. All had the same
major protein antigens, but they shared
their major polysaccharide antigens only
partially. The 2 bovine strains were
readily distinguished from each other,
while the 2 porcine strains were very
closely related but not identical. The por-
cine strains were more closely related to
the Belfast than to the Manley strain of T.
foetus. Robertson concluded that the
serologic distinctions between the 4 strains
did not justify separating them into 2 spe-
cies, and she called them all T. foetus.
Diagnosis : Altho the mucus aggluti-
nation test and a number of other sero-
logical procedures have been suggested
for diagnosing T. foetus infections, the
only sure method is to demonstrate the
protozoa microscopically either directly
or in culture. Diagnostic procedures have
been described by Hammond and Bartlett
(1945), Morgan (1945), Bartlett (1949),
Fitzgerald et at. (1952) and Thorne, Shupe
and Miner (1955), among others.
In heavy infections, particularly of
females, the trichomonads can be seen
by direct examination of mucus or exudate
from the vagina or uterus, amniotic or
allantoic fluid, fetal membranes, placenta,
fetus stomach contents, oral fluid or other
fetal tissues, or, in bulls, of washings
from the preputial cavity and rarely sem-
inal fluid or semen. If trichomonads can-
not be found on direct microscopic exam-
ination, cultures should be made in
CPLM, BGPS or Diamond's media (see
below).
Samples can be obtained from the
vagina by washing with physiological salt
solution in a bulbed douche syringe. They
can be obtained from the preputial cavity
with a cotton swab or, better, by washing
with physiological salt solution in a bulbed
pipette or syringe. The washings should
be allowed to settle for 1 to 3 hours or
centrifuged before examination.
The external genitalia should be cleaned
thoroughly before the samples are taken in
order to avoid contamination with intestinal
or coprophilic protozoa which might be mis-
taken for T. foetus. Among these are
Tritrichomonas enteris, Monocercotnonas
noninaniiuni, Protriclwmonas niminantiutn,
Bodo foetus, B. glissans, Spiromonas
atigusta, Cercomonas crassicauda, Poly-
tonia uvella, Monas obliqua and Lenibus
pusillus. In identifying T. foetus, ii must
be distinguished from these.
Trichomonads are most numerous in
the vagina 2 to 3 weeks after infection.
Their numbers fluctuate in bulls, the in-
terval between peaks being 5 to 10 days
(Hammond et at. , 1950).
A single examination is not sufficient
to warrant a negative diagnosis. A cow can
be considered uninfected if, after at least 3
negative examinations, she has 2 normal
estrus periods and subsequently conceives
and bears a normal calf; she should be bred
by artificial insemination to avoid infecting
the bull. A bull can be considered negative
if, after at least 6 negative examinations at
weekly intervals, he is bred to 2 or more
virgin heifers and they remain negative.
Cultivation : T. foetus can be readily
cultivated in a number of media. Among
them are CPLM (cysteine-peptone-liver ex-
tract-maltose-serum) medium (Johnson and
Trussell, 1943), BGPS (beef extract-glu-
cose-peptone-serum) medium (Fitzgerald,
Hammond and Shupe, 1954) and Diamond's
(1957) trypticase -yeast extract-maltose-
cysteine-serum medium.
T. foetus was first cultivated in tissue
culture by Hogue (1938). It was cultivated
in the chorio-allantoic sac of chicken em-
bryos by Nelson (1938) and independently
by Levine, Brandly and Graham (1939) and
Hogue (1939).
Treatment: Since trichomonosis is
ordinarily self-limiting in females, treat-
ment is unnecessary. No satisfactory
treatment is known for these infections.
Many investigators have reported on
treatment of T. foetus infections in bulls,
THE TRICHOMONADS
89
including Bartlett (1948), Bartlett, Moist
and Spurrell (1953), Mahoney, Christen-
sen and Steere (1954), Thorne, Shupe and
Miner (1955), Gabel et al. (1956) and
Brodie (1960). Treatment is expensive,
tedious and time-consuming; unless a bull
is exceptionally valuable, it is best to sell
it. Bartlett (1948) found that the German
proprietary preparation, Bovoflavin-Salbe,
cured 7 out of 8 infected bulls, and later
workers have confirmed its effectiveness.
This salve, which contains trypaflavine
and surfen in an ointment base, is rubbed
into the penis and prepuce following pu-
dendal nerve block or relaxation of the re-
tractor penis muscles with a tranquilizer.
Brodie (1960) injected 200 to 1000 mg
promazine hydrochloride intravenously
for the latter purpose, and found that its
ease of administration and quieting effect
made it preferable to nerve block.
Massage is continued for 15 to 20
minutes, using 120 ml of the ointment.
In addition, 30 ml of 1% acriflavine solu-
tion is injected into the urethra. Repeated
treatment may be necessary. If the epid-
idymis or testis are affected, this treat-
ment will be ineffective.
For reasons which have not been de-
termined, American bulls are much more
refractory to treatment and much more
difficult to infect experimentally than
European bulls. Treatment with silver
nitrate or by injecting 10 1 of 3% hydrogen
peroxide into the preputial cavity under
pressure with the apparatus described by
Hess (1949), which is successful in Ger-
many and Switzerland (Jondet and Guilhon,
1957), has been found unsatisfactory in
the United States.
Control : Control of bovine tricho-
monosis depends on proper herd manage-
ment. Most infected bulls should be
slaughtered. Infected cows should be
given breeding rest, and should then be
bred by artificial insemination to avoid
infecting clean bulls.
Proper management of bulls used for
artificial insemination is especially im-
portant, since they may spread the infec-
tion widely. They should be examined for
T. foetus before purchase, and the herds
from which they originated should be stud-
ied at the same time. In addition, they
should be examined repeatedly while in use
(Bartlett, Moist and Spurrell, 1953).
Freezing the semen in the presence of glyc-
erol cannot be expected to kill the trich-
omonads.
TRITRICHOMONAS SUIS
(GRUBY AND DELAFOND, 1843)
Synonym: Trichomonas suis Gruby
and Delafond, 1843.
Common Name : Large pig tricho-
monad, pig nasal trichomonad.
Disease : None .
Hosts : Pig.
Location : Nasal passages, stomach,
cecum, colon, occasionally small intestine.
Geographic Distribution : Worldwide.
Prevalence : Switzer (1951) found
this species in the nasal passages of 80%
of swine affected with atrophic rhinitis and
in only 3% of nonrhinitic pigs in Iowa.
Shuman et al. (1953) found it in 27% of 36
pigs with atrophic rhinitis and in 17% of 32
unaffected pigs in a herd near Washington,
D. C. Levine, Marquardt and Beamer
(1954) found it in 91% of 11 pigs with atro-
phic rhinitis and in 39% of 23 pigs with
normal nasal passages in Illinois. Ham-
mond, Fitzgerald and Johnson (1957) found
it in the nasal passages of 56% of 64 pigs
from Utah, Nebraska and Idaho. Hibler
et al. (1960) found it in the nasal passages
of 55% of 100 pigs, the stomach of 8% of
512, the cecum of 43% of 496 and the small
intestine of 3% of 100 pigs in Utah.
Morphology : This species was des-
cribed in detail by Hibler et al. (1960),
Marquardt (1954) and Buttrey (1956); the
latter described it under the name Tri-
tricfiomonas sp. from the nasal passages.
T. suis is characteristically elongate or
spindle-shaped, occasionally piriform or
rotund, 9 to 16 by 2 to 6ju,, with a mean of
90
THE TRICHOMONADS
Fig. 8. Trichomonads of swine. A. Trtlrichoiiionas siiis. X 7700. B. Trilriclioiii-
onas rotunda. X 5100. C. Trichomonas buUrexi. X 5700. (From Hibler
et ai., 1960)
11.3 by 3.4^1. Buttrey described a cyto-
stome, but Hibler et al. did not see one.
The 3 anterior flagella are about equal in
length, 7 to 17 /i long with a mean of about
12.6^L, and end in a round to spatulate
knob. The blepharoplast is composed of
several granules. The undulating mem-
brane runs the full length of the body and
has 4 to 6 subequal folds. Its marginal
filament continues as a posterior free fla-
gellum 5 to 11 ji long. An accessory
filament is present. The costa runs the
full length of the body, and fine subcostal
granules are present. The axostyle is a
hyaline rod 0. 6 jj. in diameter with a bulb-
ous capitulum 1. 7 p. in diameter. It ex-
tends 0. 6 to 1. 7fi beyond the body as a
cone-shaped projection narrowing abruptly
THE TRICHOMONADS
91
to a short tip. There is a chromatic ring
around its point of exit. The parabasal
body is usually a single, slender, tube-
like structure 2 to 5jn long. The nucleus
is oval or elongated, 2 to 5 by 1 to 3 /li ,
with a large, conspicuous endosome sur-
rounded by a relatively clear halo.
Pathogenesis : The discovery of this
trichomonad by Switzer (1951) in a high
percentage of cases of atrophic rhinitis
and in a relatively low percentage of nor-
mal pigs raised the question whether it
was the cause of the condition. Spindler,
Shorb and Hill (1953) produced the disease
in young pigs with nasal washings contain-
ing trichomonads from pigs with atrophic
rhinitis, but Switzer (1951), Levine,
Marquardt and Beamer (1954) and Fitz-
gerald, Hammond and Shupe (1954a),
among others, were unable to do so with
axenic cultures of the protozoon. It is
now generally agreed that this trichomonad
is not pathogenic. Several other agents,
including Pasteiirella tnultocida and Myco-
plasDia hyorhinis, have been incriminated
as causes of atrophic rhinitis, but their
roles require further elucidation (see
Switzer, 1955 for review).
While T. suis is not pathogenic for
pigs in its natural locations, it may cause
abortion in heifers with experimental in-
fections of the reproductive tract (see
below).
Cultivation : This trichomonad can
be readily cultivated in any of the media
used for T. foetus. In mixed cultures
with other species of porcine trichomon-
ads, it survives while the others die out,
so that it sometimes seems as tho one
species has taken on the appearance of
another (Hibler et al. , 1960). Because of
this fact, cultures of pig cecal trichomonad
heretofore used in cross-transmission
studies have most probably been this spe-
cies.
Switzer (1959) cultivated T. suis from
the nasal passages in pig kidney, nasal
mucosa and lung tissue cultures.
Remarks : Uncertainty has existed
for many years regarding which of the
trichomonads known to occur in swine was
T. suis. This specific name was origi-
nally given by Gruby and Delafond (1843)
to a form found in the stomach. Since
that time, trichomonads have been found in
the cecum and nasal passages, but it was
not certain what their relationship was to
the form which Gruby and Delafond had
named. However, Hibler et al. (1960)
found that the species described above is
the only one which occurs in the stomach
and that it also occurs in the nasal pas-
sages, cecum and small intestine. They
found the other 2 trichomonad species of
swine only in the cecum.
The relationship between T. suis and
T. foetus requires further study. Buttrey
(1956) and Hibler et al. (1960) pointed out
their great morphological similarity.
Doran (1957, 1959) concluded on the basis
of metabolic studies that T. suis is a
highly adapted strain of T. foetus. The
other way around would be more likely in
terms of evolution, i.e., T. foetus may
well have arisen from T. suis or may be
an adapted strain of it.
Fitzgerald et al. (1958) produced
vaginal infections in 3 heifers with T. suis
from the pig nose; the infections lasted 46
to 133 days. They also produced vaginal
infections in 2 heifers with T. suis from
the pig cecum which lasted 33 and 84 days,
respectively, and in another heifer with
T. suis from the pig stomach which lasted
88 days. They produced abortion in a 4-
month-pregnant heifer by intrauterine
inoculation of T. suis from the pig cecum.
In addition, a bull became infected by
breeding an infected heifer. He remained
positive for 4 months and transmitted the
infection to a virgin heifer by coitus.
Hammond and Leidl (1957a) infected the
preputial cavity of bulls with T. suis from
the pig cecum and found that the infections
were transmissible by coitus. Kerr (1958)
produced vaginal infections in heifers with
Hammond's strains and also with a strain
of T. suis which he isolated from pigs in
England.
Hammond and Leidl (1957) produced
vaginal infections with T. suis from the
pig cecum in 4 of 5 sows; the infections
92
THE TRICHOMONADS
lasted 3 to 42 days. Fitzgerald el al.
(1958) produced nasal and cecal infections
in young pigs with cultures of T. suis from
the pig nose, and they produced nasal, gas-
tric and cecal infections with T. sicis from
the pig stomach and from the pig cecum.
Shaw and Buttrey (1958) were able to
infect young chickens with T. siiis from
the pig nose by rectal inoculation but not
by mouth.
Kerr (1958) found that the vaginal
mucus agglutination test of heifers infected
with T. suis was positive with T. suis and
Belfast strain T. foetus antigens but not
with Manley strain T.fuelus antigen.
Sanborn (1955) found by microagglutination
tests that a strain of T. suis from the pig
nose was antigenically different from a
strain of T. foetus and that both differed
from a pig cecal trichomonad.
As mentioned above under the discus-
sion of T. foetus, Robertson (1960) found
that the Belfast and Manley strains of T.
foetus and Strains S2 and 414 of T. suis
were serologically related and concluded
that the differences between them did not
justify separating them into 2 species.
Cattle and swine are often raised to-
gether, and the broad host ranges and mor-
phologic, metabolic and serologic similar-
ity between T. suis and T. foetus suggest
that they may have had a common origin if
they are not indeed the same. Robertson
(1960) believed that they are the same and
called them all T. foetus, but the correct
name, as Hibler et al. (1960) pointed out,
would be T. suis. Even so, however, it
might still be worth-while to retain both
names, simply as a matter of convenience.
TRITRICHOMONAS ROTUNDA
HIBLER, HAMMOND, CASKEY,
JOHNSON AND FITZGERALD, 1960
Synonym : Tritrichomonas suis pro
parte.
Common Name : Medium -sized pig
cecal trichomonad.
Disease : None.
Hosts: Pig.
Location : Cecum, colon.
Geographic Distribution : This spe-
cies has been recognized so far only in
North America, but presumably occurs
thruout the world.
Prevalence : Hibler et al. (1960)
found T. rotunda in the ceca of 10. 5% of
496 pigs in Utah.
Morphology : This species was des-
cribed in detail by Hibler et al. (1960) and
by Buttrey (1956); the latter referred to it
as "T. s«/s -like." T. rotunda is typically
broadly piriform, and only occasionally
ovoid or ellipsoidal. It measures 7 to 11
by 5 to 7 (i with a mean of 9. by 5. 8 p. .
Hibler et al. saw no cytostome. Cyto-
plasmic inclusions were frequently pres-
ent. The 3 anterior flagella are about
equal in length, being 10 to 17/j. long with
a mean of 14.9|j,, and terminate in a knob
or spatulate structure. The blepharoplast
appears to consist of a single granule.
The undulating membrane is relatively
low. It and the costa extend about 1/2 to
2/3 of the length of the body according to
Hibler et al. (the full length of the body,
according to Buttrey), and its undulation
pattern varies from smooth to tightly
telescoped or coiled waves (with 3 to 5 in-
distinct folds, according to Buttrey). The
accessory filament impregnates heavily
with silver. The posterior free flagellum
is generally shorter than the body. The
axostyle is a narrow, straight, non-hya-
line rod with a crescent- or sickle-shaped
capitulum. It extends a relatively long
distance beyond the body (0. 6 to 6. 3 /i with
a mean of 4. 3fi). There is no chromatic
ring at its point of exit from the body.
The nucleus is practically spherical, 2 to
3 fi in diameter, with an endosome sur-
rounded by a clear halo. The parabasal
body measures 2. 3 to 3. 4 by 0. 4 to 1.3/1.
It is composed of 2 rami which form a V;
each ramus has a parabasal filament.
Pathogenesis : Non- pathogenic.
THE TRICHOMONADS
93
Cultivation : T. rotunda grows read-
ily on primary culture in standard tricho-
monad media, but dies out on subculture
and can no longer be found after the 4th or
5th subculture. However, it can be main-
tained indefinitely in a cecal extract-
serum medium provided that Pseudonionas
aeruginosa is present (Hibler et al. , 1960).
TRITRICHOMONAS ENTERIS
(CHRISTL, 1954) nov. comb.
Synonym : Trichomonas enteris
Christl, 1954.
Hosts : Ox, zebu.
Location : Cecum, colon.
Geographic Distribution : Germany,
India, probably worldwide.
Prevalence : Common in Bavaria,
according to Christl (1954).
Morphology : The body is 6 to 12jLi
long and 5 to 6fi wide. Three anterior
flagella of equal length arise from a single
blepharoplast. The flagellum at the edge
of the undulating membrane is single,
without an accessory filament. The un-
dulating membrane extends 3/4 of the body
length, and a free flagellum extends be-
Fig. 9.
Tritrichomonas enteris. X 1950.
(From Christl, 1954 in Zeitschrift
fiiy ParasitenkiDide, published by
Springer- Verlag).
yond the undulating membrane. The axo-
style is straight, slender, bent like a
spoon around nucleus, and extends at the
most 1/4 of the body length beyond the
body. Subcostal granules are present.
TRITRICHOMONAS SP.
Host: Ox.
Location : Feces.
Geographic Distribution : North
America (Maryland).
Morphology : Diamond (1957) culti-
vated this form from calf feces. He did
not describe it except to say that it resem-
bled T. batrachorum.
TRITRICHOMONAS EQUI
(FANTHAM, 1921)
Synonyms : Trichomonas equi.
Host: Horse.
Location : Cecum, colon.
Geographic Distribution : Presum-
ably worldwide, altho it has been reported
specifically only from South Africa and
the U.S. (Iowa).
Prevalence : Fantham (1921) found
T. equi very rarely and in very small num-
bers in horses in South Africa. Hsiung
(1930) found it on several occasions in
Iowa.
Morphology : According to Hsiung
(1930), T. equi measures about 11 by 6fx
and seems to possess 3 anterior flagella
and an undulating membrane. The axo-
style is slender.
TRITRICHOMONAS FECALIS
CLEVELAND, 1928
This species was isolated once from
human feces by Cleveland (1928). It has
3 very long flagella, a heavy undulating
94
THE TRICHOMONADS
membrane, a long, coarse axostyle and a
costa with 2 rows of granules. Like T.
hiitlreyi and the form cultured from a calf
by Diamond (1957), it resembles T. balra-
churiDn. The relationship between the
small trichomonads of mammals requires
study.
TRITRICHOMONAS EBER THI
(MARTIN AND ROBERTSON, 1911)
KOFOID, 1920
Synonyms : Trichomonas eberthi.
Hosts : Chicken, turkey. Kotlan
(1923) reported T. eberthi from the duck.
Location : Ceca.
Geographic Distribution : Worldwide.
Prevalence : Common. McDowell
(1953) found T. eberthi in 35% of a large
number of chickens in Pennsylvania.
Morphology : The body is carrot-
shaped, 8 to 14 by 4 to 7|ii , with vacuo-
Fig.
10. Tritrichoinonas eberllu. X 4700.
(From Martin and Robertson, 1911)
lated cytoplasm, and 3 anterior flagella.
The undulating membrane is prominent,
extending the full length of the body. The
posterior flagellum extends about half of
the body length beyond the undulating mem-
brane. An accessory filament is present.
The cytostome is difficult to demonstrate.
The blepharoplast is composed of 4 equi-
distant granules, but tends to stain as a
single body. Five to 12 or more subcostal
granules are present. The axostyle is
massive, hyaline, with its anterior end
broadened to form a capitulum which con-
tains siderophilic, argentophilic granules.
Other endoaxostylar granules are also
present. A ring of chromatic granules
surrounds the axostyle at its point of emer-
gence from the body. The parabasal body
is shaped like a flattened rod, sometimes
lumpy, of variable length. There are 5
chromosomes.
Pathogenesis : Non- pathogenic.
Cultivation : Diamond (1957) culti-
vated T. eberthi axenically for the first
time in Diamond's medium.
OTHER SPECIES OF TRITRICHOMONAS
Tritrichomonas muris (Grassi, 1879)
occurs in the cecum, colon and sometimes
small intestine of the Norway rat, black
rat, house mouse, golden hamster and a
large number of wild rodents. It measures
16 to 26 by 10 to 14^l.
T. minuta (Wenrich, 1924) occurs in
the cecum and colon of the Norway rat,
house mouse and golden hamster. It meas-
ures 4 to 9 by 2 to 5 jli .
T. wenyoni (Wenrich, 1946) occurs in
the cecum and colon of the Norway rat,
house mouse, golden hamster, rhesus
monkey and Chacma baboon. It measures
4 to 16 by 2.5 to 6 fi.
T. caviae (Davaine, 1875) occurs in
the cecum and colon of the guinea pig. It
measures 10 to 22 by 6 to 11 ji .
Tritrichomonas sp. Nie, 1950 occurs
in the cecum of the guinea pig. It meas-
ures 6 to 13 by 4. 5 to 6. 5 |i.
THE TRICHOMONADS
95
Tritrichomonas criceti (Wantland,
1956 emend. ) nov. comb. (syn. , Tri-
chomonas cricetus Wantland, 1956)occurs in
the cecum and colon of the golden hamster.
It measures 12 to 25 by 5 to 10 /i.
Genus TRICHOMONAS Donne, 1837
Members of this genus have 4 anter-
ior flagella.
TRICHOMONAS TEN AX
(MULLER, 1773)DOBELL, 1939
Synonyms : Cercaria tenax, Tetra-
tyiclio)iioiias buccaUs, Trichomonas biic-
calis, Trichomonas elongata.
Disease : None.
Hosts : Man, monkeys [Macaco
nmlatta. Papio sphinx).
Location : Mouth, especially between
gums and teeth.
Geographic Distribution : Worldwide.
Prevalence : Common. T. tenax has
been found in 4% to 53% of persons exam-
ined in different surveys (Wenrich, 1947).
Morphology : The morphology of T.
tenax has been studied by Wenrich (1947)
and Honigberg and Lee (1959). The latter
remarked on the close morphological re-
semblance of this species to T. gallinae.
The body is ellipsoidal, ovoid or piriform,
4 to 16 (i long and 2 to 15(a wide. Different
strains differ in size; the smallest of 5
strains studied by Honigberg and Lee (1959)
averaged 6. by 4. 3 /i and the largest 8. 4
X 6. 0|U . The 4 anterior flagella are 7 to
15fx long. They originate in a basal gran-
ule complex anterior to the nucleus and
terminate in little knobs or rods. The un-
dulating membrane is shorter than the body;
it ranged from 40 to 100% and averaged
from 69 to 82% of the body length in the 5
strains studied by Honigberg and Lee (1959).
An accessory filament is present. There
is no free posterior flagellum. The costa
is slender and accompanied by a group of
large paracostal granules. The parabasal
apparatus consists of a typically rod-
shaped body and a long filament extending
posteriorly from it. The axostyle is slen-
der and extends a considerable distance
beyond the body. There is no periaxostylar
ring at its point of exit nor is it accompa-
nied by paraxostylar granules. The capi-
tulum of the axostyle is somewhat enlarged
and spatulate. The pelta is of medium
width. Wenrich (1947) said that a cyto-
stome was present, but Honigberg and Lee
(1959) found no evidence of one. Honigberg
and Lee (1959) described the division proc-
ess in detail.
Pathogenesis : None.
Cultivation : Honigberg and Lee (1959)
cultivated T. tenax in Balamuth's yolk in-
fusion medium. Diamond (1960) cultivated
it axenically in a complex medium contain-
ing chick embryo extract.
Remarks : Hinshaw (1928) infected a
dog which had gingivitis with T. tenax.
TRICHOMONAS EQUIBUCCALIS
SIMITCH, 1939
Disease : None .
Hosts : Horse, donkey.
Location : Mouth, around gums and
teeth^
Geographic Distribution : This species
has apparently been reported only from
Jugoslavia.
Prevalence : Simitch (1939) found T.
eqidbuccalis by culture in 7 out of 22
horses and 2 out of 4 donkeys in Jugoslavia.
Morphology : The body is piriform or
ovoid, 7 to 10 /i long. It has a single ble-
pharoplast and 4 anterior flagella 10 to
15;i long. The undulating membrane is
relatively short, rarely reaching the pos-
terior end. There is no free posterior
flagellum. The costa is slender and not
always visible. The axostyle is apparently
slender and extends beyond the body.
96
THE TRICHOMONADS
Pathogenesis : Non- pathogenic.
Remarks : Simitch (1939) transmitted
T. eqiiibiiccalis readily from the horse to
the donkey and vice versa, but was unable
to infect cattle, sheep and goats with it.
length of the body. The free posterior fla-
gellum is about half as long as the body.
The costa is apparently slender. The axo-
style is thread-like, staining black with
hematoxylin, and extends a considerable
distance beyond the body. Subcostal gran-
ules are absent.
TRICHOMONAS FELISTOMAE
HEGNER AND RATCLIFFE, 1927
Hosts : Cat.
Location : Mouth.
Geographic Distribution : United
States.
Prevalence : Hegner and Ratcliffe
(1927) found this species in 2 out of 28
cats examined in Baltimore, Md.
Morphology : The body is piriform,
6 to 1 1 by 3 to 4 (I with a mean of 8 by 3 ji ,
and has 4 anterior flagella longer than
body. The costa is illustrated as promi-
nent. The undulating membrane extends
most of the body length. There is a free
posterior flagellum. The axostyle extends
a considerable distance beyond the body.
Pathogenesis: Non-pathogenic.
TRICHOMONAS CANISTOMAE
HEGNER AND RATCLIFFE, 1927
Pathogenesis : Non- pathogenic.
Remarks : An old dog with advanced
gingivitis was infected with T. leiiax by
Hinshaw (1928); the infection was still
present 14^ months later. Simitch and
Kostitch (1938) were unable to infect hu-
mans with T. caiiistoDiae or to infect dogs
with T. tenax. The morphological differ-
ence described between the two species
indicates that they are different. T. can-
istomae and T. felistomae, however, may
well be the same; further study is needed
to determine this.
TRICHOMONAS VAGINALIS
DONNE, 1836
Hosts: Man.
The golden hamster can be infected
intravaginally (Uhlenhuth and Schoenherr,
1955). Mice can be infected subcutaneously
(Honigberg, 1959).
Location : Vagina, prostate gland,
urethra.
Hosts : Dog.
Location : Mouth.
Geographic Distribution :
States, Europe.
United
Prevalence : Hegner and Ratcliffe
(1927a), found this species in 22 out of 23
dogs examined in Baltimore, Md.
Morphology : The following descrip-
tion is based on Hegner and Ratcliffe
(1927a). The body is piriform, 7 to 12|j,
long and 3 to 4/i wide. Four anterior
flagella about as long as the body arise in
pairs from a large blepharoplast. The
undulating membrane extends almost the
Geographic Distribution : Worldwide.
Prevalence : T. vaginalis has been
reported in 2% to as high as 80 to 90% of
women and in 1 to 47% of men in various
surveys (Wenrich, 1947; Kucera, 1957;
Burch, Rees and Reardon, 1959).
Morphology : The body is piriform,
7 to 23 by 5 to 12 ;i, and has 4 anterior
flagella about as long as the body. The un-
dulating membrane has 3 or 4 waves and
extends a little more than half the body
length. There is no free posterior flagel-
lum. An accessory filament is present.
The costa is very narrow. The parabasal
body is long, cylindrical, and has a para-
basal filament extending posteriorly from
THE TRICHOMONADS
97
Fig. 11. Trichonionads of man. 1. Trichomonas
vaginalis. 2. Trichomonas lenax.
3. Pentatrichomonas hominis. X 2500.
(From Wenrich, 1947)
it. Paracostal and extra- axostylar gran-
ules are numerous; other siderophil gran-
ules are scattered in the cytoplasm. Four
chromosomes are present. The axostyle
is rather slender. The cytostome is in-
conspicuous.
Pathogenesis : T. vaginalis infec-
tions are often asymptomatic in womena
and are usually so in the male. Tricho-
monad vaginitis is characterized by leu-
korrhea and vaginal and vulvar pruritis.
T. vaginalis may occasionally cause pur-
ulent urethritis and prostato-vesiculitis
in the male. Concomitant bacteria and
yeasts may exacerbate the symptoms and
lesions.
Epidemiology : T. vaginalis infec-
tions are essentially venereal in origin,
the organism being transmitted during
sexual intercourse. In exceptional cases,
infants have been infected from their
mothers. Transmission thru contamina-
ted towels, underwear or toilet seats is
extremely rare.
Diagnosis : T. vaginalis infections
can be readily identified by microscopic
examination of vaginal secretions or scrap-
ings, sedimented urine or prostate secre-
tions obtained by massaging the prostate
gland.
Cultivation : T. vaginalis can be
readily cultivated in any of the media used
for trichonionads, such as CPLM medium.
Treatment : A number of preparations
are used in treating trichomonad vaginitis.
Among them are suppositories containing
chiniofon, diodoquin, vioform, carbarsone
or oxytetracycline. Lactic acid douches
are often used to make the vaginal pH acid
and provide conditions unsuitable for the
protozoa. Infections in the male may be
treated by introducing oxytetracycline
ointment into the urethra or irrigating
with a sulfonamide or antibiotic. To pre-
vent reinfection, both husband and wife
should be treated.
Remarks : Trussell (1947) has writ-
ten a definitive monograph on this species.
TRICHOMONAS PAVLOVI
NOM. NOV.
Synonym : Trichomonas bovis Pavlov
and Dimitrov, 1957, non Trichomonas
bovis Riedmiiller, 1930.
Host : Ox.
Location : Large intestine.
Geographic Distribution : Bulgaria.
Morphology : This species was des-
cribed by Pavlov and Dimitrov (1957). The
trophozoites are piriform and usually meas-
ure 11 to 12 by 6 to 7 (jL . The 4 anterior
flagella are about the same length as the
body. The undulating membrane is well de-
veloped, with 2 to 4 waves, and extends al-
most to the posterior end of the body. A
posterior free flagellum, an accessory fil-
ament and a costa are present. The nucleus
is round-oval or oval. The axostyle is rel-
atively weak and slender, broadening to
form a capitulum at the anterior end, and
extending about 1/4 of its length from the
posterior end of the body. There are many
food vacuoles in the cytoplasm.
98
THE TRICHOMONADS
PathoRenesis : Pavlov and Dimitrov
(1957) found this species in the feces of
calves 5 days to 4 months old, all of which
had diarrhea. They thought that the pro-
tozoa were the cause of the diarrhea, bas-
ing their opinion on their inability to find
another cause and on the fact that the
trichomonads disappeared from the feces
when the diarrhea ceased. Needless to
say, this is not sufficient justification for
their view.
Remarks : Further study is necessary
to be sure whether this species is valid.
Pending such a study, it is considered best
to retain it.
Pavlov and Dimitrov (1957) named
this species Trichomonas bovis. This
name is a homonym of Tyichomonas bovis
Riedmiiller, 1930, which is in turn a syn-
onym of TritrichoHiuiias foetus (Ried-
miiller, 1928). Hence I am renaming it
Trichomonas pavlovi nom. nov.
r. bultreyi is ovoid or ellipsoidal, 4
to 7 by 2 to 5 (i with a mean of about 5. 9
by 3.4p.. Cytoplasmic inclusions are
frequently present, but Hibler et al. saw
no cytostome. There are 4 or 3 anterior
flagella which vary in length from a short
stub to more than twice the length of the
body and end in a knob or spatulate struc-
ture. The undulating membrane runs the
full length of the body and has 3 to 5 un-
dulations. The accessory filament is
prominent and the costa relatively deli-
cate. A posterior free flagellum is pres-
ent. The axostyle is relatively narrow,
with a spatulate capitulum, and protrudes
3 to 6|i beyond the body. There is no
chromatic ring at its point of exit. A
pelta is present anteriorly. The nucleus
is frequently ovoid but varies consider-
ably in shape; it measures 2 to 3 by 1 to
2 /J, and has a small endosome. The para-
basal body is a disc 0. 3 to 1. 1 /i in diam-
eter.
Pathogenesis: Non- pathogenic.
TRICHOMONAS BUTTREYI
fflBLER, HAMMOND, CASKEY,
JOHNSON AND FITZGERALD, 1960
Common Name : Small pig cecal
trichomonad.
Disease: None.
Host : Pig.
Location : Cecum, colon, rarely
small intestine.
Geographic Distribution : This spe-
cies has been recognized so far only in
North America, but presumably occurs
thruout the world.
Prevalence : Hibler et al. (1960)
found T. biittreyi in the ceca of 25. 4% of
496 pigs and in the small intestine of 1%
of 100 pigs in Utah.
Morphology : This species was des-
cribed in detail by Hibler et al. (1960) and
by Buttrey (1956); the latter referred to it
as a Paralricho>nonas-like form resem-
bling P. (or Trichomonas) batrachorum.
Cultivation : According to Hibler
et al. , T. biittreyi grows readily on pri-
mary culture in standard trichomonad
media, but dies out on subculture; they
maintained it indefinitely in a cecal ex-
tract-serum medium provided Pseiido-
monas aeruginosa was present. Diamond
(1957) however, established it in axenic
culture.
Remarks : Doran (1958) studied the
metabolism of this species, using Strain
PC-287. It could not oxidize Krebs cycle
intermediates, but produced carbon diox-
ide and other gas not absorbed by KOH
anaerobically. It resembled T. siiis
more than other trichomonads, but dif-
fered in carbohydrate utilization and in
having a generally lower respiratory
rate.
TRICHOMONAS GALLINAE
(RIVOLTA, 1878) STABLER, 1938
Synonyms : Cercomonas gallinae,
Cercomonas hepaticiim. Trichomonas
columbae, Trichomonas diversa, Tri-
chomonas halli.
THE TRICHOMONA DS
99
Disease : Avian trichomonosis, upper
digestive tract trichomonosis.
Hosts : The domestic pigeon is the
primary host of T. gallinae. but it also
occurs in a large number of other birds,
including hawks and falcons which feed on
pigeons. Its natural hosts besides the
pigeon include the mourning dove {Zen-
aidura macroura), Indian dove ( Turtiir
siiratensis), wood pigeon [Columba pa-
lumbiis), band-tailed pigeon (C. fasciata),
ring dove {Streptopelia risoria), white-
winged dove {Zenaida asiatica), turkey,
chicken, Cooper's hawk {Accipiter cooperi),
golden eagle {Aquila chrysaetos), duck
hawk [Falco peregrinus anatiini), Java
sparrow {Miinia oryzivora), zebra finch
and orange-cheeked waxbill.
A number of other birds have been
experimentally infected. They include the
bobwhite quail, canary, English sparrow
(Levine, Boley and Hester, 1941), barn
swallow, goldfinch and song sparrow
(Stabler, 1953), and Tovi parakeet and
Verraux's dove (Callender and Simmons,
1937). Parenteral infections have also
been produced experimentally in mammals
--by Bos (1934) in mice and guinea pigs,
by Wagner and Hees (1935), Wittfogel
(1935), Miessner and Hansen (1936),
Schnitzer, Kelly and Leiwant (1950) and
Honigberg (1959) in mice, and by Rakoff
(1934) in rats and kittens.
Prevalence : T. gallinae is extremely
common in domestic pigeons, in which it
often causes serious losses. It is fairly
common in the turkey; the U.S. Dept. of
Agriculture (1954) estimated that it causes
an annual loss of $47,000 in these birds.
It is rare in chickens. It is common in
mourning doves, and may cause serious
losses among them (Stabler and Herman,
1951). According to Stabler (1954), it was
common in trained hawks during the hey-
day of falconry; they became infected be-
cause they were fed largely on pigeons.
Stabler and Herman (1951) and Stabler
(1954) give further information on incidence
in domestic and wild birds.
Morphology : The following description
is based on Stabler (1941, 1954). The body
Fig. 12. Trichomonas gallinae
(From Stabler, 1947)
X 3400.
is roughly piriform, 6 to 19 by 2 to 9 |j,.
Four anterior flagella 8 to ISfi long arise
from the blepharoplast. The axostyle is
narrow and protrudes a short distance
from the body. There is no chromatic
ring around its point of emergence. The
parabasal body is sausage-shaped, about
4|i long, with a parabasal filament. The
costa runs 2/3 to 3/4 of the body length.
The undulating membrane does not reach
the posterior end of the body. An acces-
sory filament is present. A free trailing
flagelium is absent. A cytostome is
present. There are 6 chromosomes.
Pathogenesis : In the pigeon, tricho-
monosis is essentially a disease of young
birds; 80 to 90?o of the adults are infected
but show no signs of disease. The sever-
ity of the disease varies from a mild con-
dition to a rapidly fatal one with death 4 to
18 days after infection. This is due in
part to differences in virulence of different
strains of the trichomonad (Stabler, 1948).
Severely affected birds lose weight, stand
huddled with ruffled feathers, and may fall
over when forced to move. A greenish
fluid containing large numbers of tricho-
monads may be found in the mouth.
Lesions are found in the mouth, si-
nuses, orbital region, pharynx, esophagus,
crop and even the proventriculus. They do
not involve the digestive tract beyond the
:oo
THE TRICHOMONADS
proventriculus. They often occur in the
liver and to a lesser extent in other organs,
including the lungs, air sacs, heart, pan-
creas, and more rarely the spleen, kid-
neys, trachea, bone marrow, navel re-
gion, etc.
The early lesions in the mouth are
small, yellowish, circumscribed areas in
the mucosa. They increase in number and
become progressively larger, finally de-
veloping into very large, caseous masses
which may invade the roof of the mouth and
sinuses and may even extend thru the base
of the skull to the brain. The early lesions
in the pharynx, esophagus and crop are
small, whitish to yellowish caseous nod-
ules which also grow. They may remain
circumscribed and separate, or they may
form thick, caseous, necrotic masses
which may occlude the lumen. The cir-
cumscribed, disc-shaped lesions are
often described as "yellow buttons". Those
in the esophagus and crop may have central,
spur-like projections. A large amount of
fluid may accumulate in the crop. The le-
sions in the liver, lungs and other organs
are solid, yellowish, caseous nodules
ranging up to a centimeter or more in di-
ameter.
In the turkey and chicken, the lesions
occur mostly in the crop, esophagus and
pharynx, and are relatively uncommon in
the mouth and liver. The lesions in the
mourning dove are similar to those in the
pigeon.
Immunology : As mentioned above,
different strains of T. gallinae differ
greatly in virulence (Stabler, 1948; Flor-
ent, 1938; Gloor, 1943). Previous infec-
tion bestows more or less immunity; adult
pigeons which have survived infection as
squabs are symptomless carriers. Infec-
tion with a relatively harmless strain pro-
duces immunity against virulent strains
(Stabler, 1948a, 1951). According to
Florent (1938), pigeons are particularly
susceptible at the time of weaning and of
the first molt. Stabler (1953) found that
immunity did not increase with age of un-
infected birds. Certain breeds or strains
of birds may be more sensitive than others.
Miessner and Hansen (1936) felt that roller
and tumbler pigeons were such, and Levine
and Brandly (1940) were able to infect
chicks from one source readily while chicks
from other sources were very resistant.
Epidemiology : In pigeons and mourn-
ing doves, trichomonosis is transmitted
from the adults to the squabs in the pigeon
milk which is produced in the crop. The
squabs are infected within minutes after
hatching. Hawks and other wild raptors
become infected by eating infected birds.
Turkeys and chickens are infected thru
contaminated drinking water. Feral pig-
eons and other columbid birds are the or-
iginal source of infection. The trichom-
onads pass into the water from the mouths
of infected birds, and not from the drop-
pings (Stabler, 1954). T. gallinae has no
cysts and is very sensitive to drying, so
direct contamination is necessary.
Diagnosis : Upper digestive tract
trichomonosis is readily diagnosed by ob-
servation of the lesions together with dem-
onstration of the protozoa. It must be
differentiated from other conditions which
may cause more or less similar lesions,
including fowl pox, vitamin A deficiency
and moniliosis (thrush).
Cultivation : T. gallinae can be cul-
tivated readily in any of the customary
trichomonad media. Diamond (1954) com-
pared 28 culture media for it and (1957)
introduced a trypticase-yeast extract-
maltose-cysteine-serum medium for it and
other trichomonads.
Treatment : A number of workers
have recommended the use of copper sul-
fate for 20 days or more in the drinking
water to eliminate T. gallinae (see Stab-
ler, 1954) but this is not particularly sat-
isfactory. The optimal concentration for
non-breeding pigeons is 1-1000 and that for
breeding pigeons with squabs is 1-3000
according to Jaquette (1948), but it tends
to make the birds sick, and Jaquette felt
that all the treated birds may have suffered
liver damage. Turkeys will not drink
1-2000 copper sulfate.
The best treatment for T. gallinae is
2-amino-5-nitrothiazole (enheptin).
THE TRICHOMONADS
101
Stabler and Mellentin (1953) recommended
7 daily doses of 28 mg/kg for homing pi-
geons and 45 mg/kg for commercial birds.
This treatment cures both acute cases and
carriers. Stabler, Schmittner and Harman
(1958) used 6. 3 g enheptin soluble per gal-
lon of drinking water for 7 to 14 days in
non-breeding pigeons. The birds consumed
9 to 27 mg of the drug per day--operation
of the peck order may have cut down water
consumption by some birds--and 53 of 61
infected birds were freed of their infec-
tions. Zwart (1959) obtained promising
results with 0. 125% enheptin in the drink-
ing water of a Dutch aviary where the in-
fection had been found in zebra finches
and an orange-checked waxbill.
Control : Control of trichomonosis
in pigeons depends upon elimination of the
infection from the adults by drug treat-
ment. Prevention in turkeys and chickens
is based upon preventing wild pigeons and
doves from drinking from their watering
places.
TRICHOMONAS GALLINARUM
MARTIN AND ROBERTSON, 1911
Synonym : Trichomonas pullorum.
Disease : None .
Hosts : Chicken, turkey, guinea fowl,
and possibly other gallinaceous birds such
as the quail, pheasant and chukar par-
tridge. Diamond (1957) found a T. gal-
linarum -like form in the Canada goose
{Branta canadensis).
Location : Ceca, sometimes liver.
Geographic Distribution : Worldwide.
Prevalence : Common. McDowell
(1953) found T. gallinarum in over 60%of
a large number of chickens in Pennsyl-
vania.
Morphology : The body is piriform,
7 to 15 by 3 to 9 jj, , with 4 anterior fla-
gella and a posterior flagellum which runs
along the undulating membrane and ex-
tends beyond it. An accessory filament is
present. The axostyle is long, pointed
and slender, without a chromatic ring at
its point of emergence. The cytostome is
prominent. Supracostal granules but no
subcostal or endoaxostylar granules are
present. The pelta is elaborate, ending
abruptly with a short ventral extension
more or less free from the ventral edge
of the axostyle, according to McDowell
(1953); Marquardt (1954), however, did
not find a pelta in his cultures of a strain
from a turkey. The shape of the para-
basal body is highly variable, but it is
usually a ring of variously spaced gran-
ules plus 1 or 2 fibrils or rami. The
chromosome number is apparently 5. A
rather uniform perinuclear cloud of ar-
gentophilic granules is usually present
(McDowell, 1953).
The form originally described by
Martin and Robertson (1911) had 4 anterior
flagella. Allen (1940) described a trichom-
onad from the ceca and liver of chickens
and turkeys which she considered to be this
species but which had 5 anterior flagella.
Walker (1948), too, illustrated the trichom-
onad he isolated from turkey livers with 5
anterior flagella. Further study is needed
to determine the relationship of this form
to T. gallinarum. McDowell (1953) in-
sisted on the fact that the usual number of
anterior flagella is 4, rarely 3 and in even
rarer cases 5. He studied 1000 slides from
a large number of chickens. Marquardt
(1954), too, found only 4 anterior flagella
in a culture strain from a turkey.
Pathogenesis : Allen (1936, 1941),
Olsen and Allen (1942) and Walker (1948)
isolated a trichomonad from turkey liver
lesions resembling those of histomonosis
and considered that the trichomonad had
caused them. The disease they described
resembled histomonosis, with cecal and
liver lesions, pale yellow, cecal diarrhea,
inappetance, loss of weight, and a mor-
tality of to 44%. The cecal lesions were
said to be the same as those of histomo-
nosis, but the liver lesions were said to
be smaller, to have irregular outlines and
to be raised or level with the liver surface
instead of depressed below it. Wichmann
and Bankowski (1956) described a similar
condition in chukar partridges. However,
102
THE TRICHOMONADS
the mere presence of an organism in a
lesion is no proof that it caused the lesion.
There is no satisfactory proof that T. gal-
liiutru))! by itself is capable of causing
disease, and the weight of evidence is
against it. Delappe (1957) infected chick-
ens and turkeys experimentally with a
strain of T. galliiianiDi isolated from
liver lesions of a turkey with histomonosis,
but was unable to produce either symptoms
or lesions. The possibility has still not
been completely eliminated, however, that
a Penlalrichomonas may exist which is
pathogenic (see below).
Epidemiology: Birds become infected
by ingestion of trichomonads in contamin-
ated water or feed. McLoughlin (1957)
found that one-week-old turkey poults were
more susceptible than 9-week-old ones.
He also found that T. gcilliiiarnni survived
for 24 hours but not for 48 hours in cecal
droppings at 37" C, and for 120 hours at
6' C.
Cultivation : T. gnlUnanuv is readily
cultivated in the usual trichomonad media.
TRICHOMONAS ANATIS
(KOTLAN, 1923)
Synonym : Tetratrichomonas anatis.
Host : Domestic duck.
Location : Posterior part of intes-
tinal tract.
Geographic Distribution : Europe
(Hungary).
Morphology : The body is broadly
beet-shaped, 13 to 27 by 8 to 18 fx, with 4
anterior flagella, an undulating membrane
extending most of the length of the body, a
free trailing flagellum, a costa and a
fibrillar axostyle.
TRICHOMONAS ANSERI
HEG^fER, 1929
Hosts : Domestic goose, baby chick
(experimental).
Morphology : The body is oval, 6 to
9 by 3. 5 to 6. 5(i with a mean of 8 by 5jx .
Four anterior flagella appear to arise in
pairs from 2 blepharoplasts. The undulat-
ing membrane extends almost the full
length of the body. A free trailing flagel-
lum and a costa are present. The axo-
style is broad and hyaline, extending a
considerable distance beyond the body.
There is no chromatic ring at its point of
emergence from the body. The nucleus is
characteristic, completely filled with min-
ute chromatin granules and also with a
single large karyosome usually at one
side. The cytostome is prominent. Many
specimens have large bacteria in the en-
doplasm.
Location : Ceca.
Geographic Distribution : United
States (Maryland).
Prevalence : Unknown.
Remarks : Hegner (1929) found a very
few of these trichomonads in cecal material
from a goose. He inoculated 3-day-old
chicks with the material /»(?r os and per
rectimi and the above description is based
on material from the chicks.
OTHER SPECIES OF TRICHOMONAS
Trichomonas macacovaginae Hegner
and Ratcliffe, 1927 occurs in the vagina
of the rhesus monkey. It measures 8 to 16
by 3 to 6 ^ and has a free posterior flagel-
lum, a feature which differentiates it from
T. vaginalis.
T. w^/cro// Wenrich and Saxe, 1950
occurs in the cecum of the Norway rat,
house mouse, goldfen hamster, vole {Mi-
croliis peniisylL'a)iici<s) and other wild ro-
dents. It is 4 to 9 ji long. Simitch, Petro-
vitch and Lepech (1954) transmitted it from
the white mouse to the laboratory rat, guin-
ea pig, ground squirrel (Citellus citelliis),
dog and cat, but were unable to infect the
chicken and a human volunteer. Wenrich
and Saxe (1950) transmitted if from the vole
to the laboratory rat, hamster and guinea
pig, but could not infect a human volunteer.
THE TRICHOMONADS
103
Genus PENTATRICHOMONAS
Mesnil, 1914
Members of this genus have 5 anter-
ior flagella.
PENTATRICHOMONAS HOMINIS
(DAVAINE, 1860)
Synonyms : Cercomonas hominis,
Monocercomonas hominis, Trichomonas
intestinalis. Trichomonas confusa, Pen-
tatrichomonas ardin delteili, Tricliom-
onas felis, Trichomonas parva, Pentatri-
chomonas canis auri.
Disease : None .
Hosts : Man, gibbon, chimpanzee,
orang-utan, rhesus monkey, pigtailed
monkey {Macaca nemestrina), brown
capuchin (Cebus fatuellus), weeping
capuchin (C. apella), white-throated
capuchin (C. capucinus), black spider
monkey {Ateles ater), white-crested titi
monkey (Callicebus amictus), Guinea
baboon {Papio papio), Humboldt's woolly
monkey {Lagothrix lagotricha), vervet
monkey {Cercopithecus pygerythrus), dog,
cat, rat, mouse, golden hamster. The
primates were listed by Flick (1954).
Kessel (1928) infected kittens with
trichomonads from man, the monkey and
rat. Simitch (1932, 1932a, 1933) trans-
mitted P. hominis from the rat to the cat,
dog and man. Saxe (1954) transmitted it
from the golden hamster to the laboratory
rat and from the rat to the hamster.
Simitch, Petrovitch and Lepech (1954) in-
fected the white mouse, laboratory rat,
guinea pig, ground squirrel (Citellus ci-
telliis ), dog, cat and chicken with P. ho-
minis from man.
Location: Cecum, colon.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The following descrip-
tion is based primarily on Wenrich (1947)
and Kirby (1945). The body is usually
piriform, 8 to 20 by 3 to 14 /i. Five an-
terior flagella are ordinarily present, al-
tho some organisms may have 4 and a few
3. Flick (1954) found in a study of more
than 13,000 individuals from 13 P. hominis
strains from 13 hosts that 77% had 5 fla-
gella, 17% had 4, 5% had 3, and 1% had 6
or more anterior flagella. Four of the
anterior flagella are grouped together and
the fifth is separate and directed poster-
iorly. A sixth flagellum runs along the
undulating membrane and extends beyond
it as a free trailing flagellum. The undu-
lating membrane extends the full length
of the body. An accessory filament, a
costa and paracostal granules are present.
The axostyle is hyaline, thick, with a
sharply pointed tip but without a chromatic
ring at its point of exit. The parabasal
body is small and ellipsoidal. The bleph-
aroplast is composed of 2 granules. The
pelta is crescent-shaped, prolonged dor-
sally in a filament which passes posteriorly
in the cytoplasm dorsal to the nucleus. A
cytostome is present. There are 5 or 6
chromosomes.
Pathogenesis : Non- pathogenic.
Cultivation : P. hominis is readily
cultivable in the usual trichomonad media.
PENT A TRICHOMONAS
SP. ALLEN, 1936
Synonym : Pentatrichomonas gal-
linarum auct.
Hosts : Chicken, turkey, guinea fowl.
Location: Ceca, liver.
Geographic Distribution : Probably
worldwide.
Prevalence : Unknown.
Morphology : Pentatricliomonas sp.
resembles T. gallinarum morphologically
except that it has 5 anterior flagella. Four
of these are of equal length and the fifth is
about half as long as the others. The body
is usually spherical, sometimes more or
less pear-shaped, fixed specimens
104
THE TRICHOMONADS
measuring 3 to 7 by 5 to 8 |i with a mean
of 5 by 7 ji. The undulating membrane ex-
tends the full length of the body, with a
free flagellum at its end. A costa is pres-
ent (Allen, 1940 called it a parabasal body).
A row of paracostal granules runs between
the costa and the undulating membrane.
The axostyle is slender, projecting from
the posterior end, but not discernible in
rounded-up specimens. A cytostome is
present. The blepharoplast is composed
of a group of small granules.
Pathogenesis : As mentioned in the
discussion of Trichomonas galli)iaru))i ,
Allen and others isolated this form from
turkey liver lesions resembling those of
histomonosis and attributed the disease to
it. However, post hoc reasoning is not
enough, and there is as yet no acceptable
proof that this trichomonad is pathogenic.
Remarks : Allen (1936) first assigned
this species to the genus Pentatrichomonas
without naming it. She later (1940) des-
cribed it as a five-flagellate "Trichom-
onas galli>iarum Martin and Robertson,
1911". Later authors such as Morgan and
Hawkins (1952) called it Pentatrichomonas
gallinaritm. The species described by
Martin and Robertson has 4 anterior fla-
gella, as does the form described by
McDowell (1953). Further study is needed
to determine the relationship between the
two forms.
Genus DfTR/CHOMONAS
Cutler, 1919
Similar to Trichomonas, but with 2
anterior flagella.
DITRICIiOMONAS OVIS
ROBERTSON, 1932
Host : Sheep.
Location : "Gut. "
Geographic Distribution : England.
Prevalence : Robertson (1932) found
this species in 1 out of 86 sheep in a Lon-
don abattoir.
Morphology : The protozoa were des-
cribed from cultures. The body is slightly
ovoid or nearly spherical, 3 to 14 by 3 to
10 ji, with 2 anterior flagella, one 12 to
16. 5/i and the other 7. 5 to 10. 5^ long.
The undulating membrane is poorly devel-
oped but extends the whole length of the
body. A free flagellum was described as
present, but was absent in 7 out of 9 draw-
ings. A costa is present. The axostyle
extends beyond the body. Three blepharo-
plasts and another granule described as a
parabasal body are present.
Pathogenesis : Non- pathogenic.
Cultivation : Robertson (1932) culti-
vated D. ovis in Tanabe's medium with or
without added rice starch.
Remarks: Robertson's paper was
apparently overlooked by Grasse, Reich-
enow and others who discussed the validity
of the genus Ditricho)nonas. Robertson
insisted that there are only 2 anterior fla-
gella except when the protozoa are divid-
ing. No one else appears to have studied
the intestinal trichomonads of sheep care-
fully, altho they are more common in the
United States than Robertson found them
to be in England. Whether they are the
same species remains to be determined.
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Hammond, D. M., P. R. Fitzgerald and A. E. Johnson.
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Hegner, R. W. 1929. Am. J. Hyg. 10:33-62.
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In this chapter is discussed a miscel-
lany of flagellates, most of which are
found in the digestive tract. Only a few
are pathogenic, the great majority being
commensal. Some are not parasitic at all
but are coprophilic or have been found as
contaminants in washings from the sheath
of bulls; these are mentioned because they
must be differentiated from parasitic
forms. A few other species are free-liv-
ing toxin-producers.
TOXIC MARINE PHYTOFLAGELLATES
The great majority of phytoflagellates
are free-living and holophytic. Some of
them produce powerful toxins which may
kill fish or even man.
Gonyaulax catanella is a marine dino-
flagellate, found particularly off the coast
of California, which causes a fatal dis-
ease of man known as mussel poisoning.
Its toxin is one of the most powerful known.
Under conditions still largely unknown, the
protozoa multiply tremendously, forming
a luminescent "bloom" in the ocean. Mus-
sels and certain other shellfish feeding on
plankton are not harmed by the toxin but
accumulate it in their internal organs.
People who eat these mussels may then be
killed by the toxin.
The blooming of other dinoflagellates,
including several species of Gymnodinium,
cause the "red tide" or "red water" which
sometimes kills huge numbers of fish, de-
positing them in rotting windrows on the
shore. This condition is particularly
common off the coast of Florida, where it
is associated with the discharge of phos-
phates into the ocean, but it also occurs
off the Texas coast and elsewhere (Hutner
and McLaughlin, 1958).
A third marine phytoflagellate, the
chrysomonad Prymnesium parvmn, has
killed fish en masse in brackish fish ponds
in Israel, and has formed blooms accom-
panying fish kills in Holland and Denmark
(McLaughlin, 1958).
,RY
Chapter 6
OTHER
HAGBUATES
- 107
108
OTHER FLAGELLATES
A few phytoflagellates are coprophilic
and may be mistaken for true parasites,
and still fewer are parasitic. These will
be discussed below.
PARASITIC FLAGELLATES
The parasitic mode of life has arisen
independently a number of times in this
group. Free-living species or genera in
distantly related or unrelated families
have found suitable living conditions in
various hosts. Many of these were pre-
viously inhabitants of stagnant water.
The fact that so few of them are pathogenic
effectively refutes the notion that para-
sites tend to be pathogenic in their first
association with a new host and that later
on the host and parasite adjust to each
other, the latter becoming less pathogenic
and eventually commensal.
FAMILY MONOCERCOMONADIDAE
This family, like the Trichomonadidae,
belongs to the order Trichomonadorida.
Its members have either a free or adherent
trailing flagellum, but lack the undulating
membrane and costa found in the Trichom-
onadidae. Four genera, Monocercomonas ,
Hexamastix, Protrichomonas and Cliilo-
mitus, occur in the intestinal tracts of
domestic animals.
Genus MONOCERCOMONAS Grassi, 1879
In this genus the body is piriform,
with a rounded anterior end. There is a
pelta. The cytostome and nucleus are
anterior. There are 3 anterior flagella
and a trailing one. The axostyle projects
beyond the posterior end of the body.
Travis (1932) showed that Trichomastix
Blochmann, 1884 and Entrichomastix
Kofoid and Swezy, 1915 are synonyms of
Monocercomonas . Morgan (1944) gave a
checklist of species of the genus; it in-
cluded 20 species, of which 4 were from
mammals, 4 from birds, 2 from reptiles,
1 from amphibia, 2 from fish and 7 from
insects and other arthropods. Others
have been described since.
Fig. 13. Monocercomonas.
(Original)
X 2800.
Monocercomonas ruminantium
(Braune, 1914) nov. comb, occurs in the
rumen of cattle. In addition, Morgan and
Noland (1943) found what was probably the
same organism in material from the sheath
of bulls.
The body is about S/i long, with 3 an-
terior flagella about 8)i long and a trailing
flagellum a little longer. The axostyle is
curved and does not extend beyond the
body, altho the posterior end is pointed.
A line of granules runs beside the convex
side of the axostyle. This species is non-
pathogenic, but must be distinguished from
Tri trichomonas foetus.
Synonyms of this species are Tri-
chomonas noiiiiiaiitiiiiii Braune, 1914;
Tricercomitus ni)>iiiiaiitiii»i (Braune, 1914)
Christl, 1954; and Tritrichomonas rumin-
antium (Braune, 1914); but not Tricho-
))iastix ruminantium Braune, 1914. Altho
Braune (1914) assigned this species to the
genus Trichonioiias and succeeding work-
ers have followed him in this or at the
most have changed the generic name of
Tritrichonionas. Christl (1954) pointed out
that the absence of an undulating membrane
made this assignment incorrect. Christl
transferred it to the genus Tricercomitus,
but it belongs more properly to the genus
Monocercomonas .
OTHER FLAGELLATES
109
Monocercomouas cuniculi (Tanabe,
1926) occurs in the cecum of the domestic
rabbit. It is piriform, 5 to 14 ji long.
Its axostyle is slender, hyaline, and pro-
jects from the body.
Monocerco))io)ias gaUinaritm (Martin
and Robertson, 1911) Morgan and Hawkins,
1948 is said to occur in the ceca of the
chicken. Kotlan (1923) reported it from a
single domestic duck. Its body is piri-
form, 5 to 8 by 3 to 4 fj, . There is some
question whether this is a valid species.
It has been reported by Martin and Robert-
son (1911) in England, Kotlan (1923) in
Hungary, and Morgan and Hawkins (1952)
in Wisconsin, but McDowell (1953) failed
to find it in 1000 slides from a large num-
ber of chickens in Pennsylvania. McDowell
believed, along with Minchin (1917),
Wenyon (1926), Doflein and Reichenow
(1929) and others, that it is simply a de-
generate Trichomonas eberthi.
Genus HEXAMASHX
Alexeieff, 1912
In this genus the body is piriform,
with a rounded anterior end. The cyto-
stome and nucleus are anterior. There
are 6 flagella, of which 1 trails. (Ac-
cording to Nie, 1950, the number of an-
terior flagella varies in this genus from
2 to 6. ) A pelta is present, the axostyle
is conspicuous, and the parabasal body
prominent. Members of this genus have
been found in mammals, amphibia and
insects. Hexamastix caviae Nie, 1950
and H. robustus Nie, 1950 occur in the
guinea pig cecum, and H. muris (Wen-
rich, 1924) in the cecum of the Norway
rat, golden hamster and other rodents.
Genus CHILOMITUS
Da Fonseca, 1915
The body is elongate, with a convex
aboral surface. The pellicle is well de-
veloped. The cuplike cytostome is near
the anterior end. Four flagella emerge
thru it from a bilobed blepharoplast. The
nucleus and parabasal body are just below
the cytostome. An axostyle is present but
may be rudimentary. Cysts may occur.
Only a few species have been described,
all in mammals. Cliilo»nlus caviae da
Fonseca, 1915 and C. coiiexits Me, 1950
occur in the guinea pig cecum.
Genus PROTRICHOMONAS
Alexeieff, 1912
The body is piriform or beet- shaped,
with 3 anterior flagella of equal length
arising from an anterior blepharoplast,
an anterior nucleus and an axostyle. Three
species have been named, from birds,
mammals and a fish.
Protrichomonas niniinantiiiDi (Braune,
1914) nov. comb, was originally assigned
by Braune (1914) to the genus TrichoDias-
tix (now Monocerconionas), but the absence
of a trailing flagellum makes this assign-
ment incorrect. Its description agrees
with that of Protricho))wiias, altho it must
be said that this genus is badly in need of
redescription. P. ru)ninaiitium occurs in
the rumen of cattle and sheep. It is about
8/i long. Its nucleus is often surrounded
by a clear zone. No cytostome was seen.
Protrichomonas anatis Kotlan, 1923
has been described from the large intes-
tine of the domestic duck and other water
birds. It is 10 to 13|Li long and 4 to 6ju
wide. Two distinct fibrillae arise from
the anterior blepharoplast and pass back
thru the body, separating to pass around
the nucleus and finally passing out of the
body as a pointed axostyle. The nucleus
is often triangular.
ORDER POLYMASTIGORIDA
Members of this group have 2 to about
12 flagella and 1, 2 or several nuclei.
They lack a costa, axostyle (except in some
Hexamitidae and Polymastigidae) and para-
basal body.
FAMILY TETRAMITIDAE
In this family there is a single nucleus
and 4 flagella, 1 or 2 of which may be
no
OTHER FLAGELLATES
trailing. Eiiferonionas is parasitic in
domestic and laboratory animals, and
Tetramitus is coprophilic.
Genus TETRAMITUS Perty, 1852
In this genus the life cycle involves
flagellate and amoeboid forms; there are
also uninucleate cysts. In the flagellate
stage the body is ellipsoidal or piriform,
with a large, trough-shaped cytostome at
the anterior end, a vesicular nucleus with
a large endosome, 4 anterior flagella,
and a contractile vacuole. Nutrition is
holozoic.
Tetramitus rostratus Perty, 1852
(syn. , Copromastix prowazeki Aragao,
1916) is found in stagnant water and is
also coprophilic. It has been found in
human and rat feces. The flagellate stage
is 14 to 18 /i long and 7 to IOjll wide. The
amoeboid stage is 14 to 48 jm long and
usually has a single lobose pseudopod.
The cysts are spherical, thin-walled, and
6 to 18 fi in diameter. The life cycle of
this species has been studied by Bunting
(1926), Bunting and Wenrich (1929) and
Hollande (1942).
Genus ENTEROMONAS
Da Fonseca, 1915
The body is spherical or piriform and
is plastic. It has 3 short anterior flagella,
1 of which may be difficult to see, and a
4th, long flagellum which runs along the
flattened body surface and extends free for
a short distance at the posterior end of
the body. A strand-like funis arises from
the blepharoplast and extends posteriorly
along the body surface; it stains faintly
with iron hematoxylin and strongly with
protargol. The nucleus is anterior, vesi-
cular, with or without an endosome. There
is no cytostome. The cysts are ovoid, and
are tetranucleate when mature. A syno-
nym of this genus is TricercoDionas Wen-
yon and O'Connor, 1917. This genus has
been reported from a number of mammals.
E>itero»io)ias hu»iinis da Fonseca,
1915 (synonyms, Octomitus hominis,
Tricercomonaa intestinalis, Diplucerco-
monas soudanensis, Enteromonas beiiga-
lensis) occurs in the cecum of man, maca-
ques (Macaca »iHlatta, M. sinica, M.
nemestrina) the golden hamster and prob-
ably other animals thruout the world.
Wantland (1955) reported it in l%of 500
golden hamsters in the United States.
Saxe (1954) transmitted it from the golden
hamster to the laboratory rat. Dobell
(1935) was unable to infect himself with a
culture of £. liominis from the macaque,
M. sinica, but believed that future work
would show that the human and macaque
forms are the same species. Simitch
et at. (1959) reported failure to transmit
E. hominis to 2 young pigs.
The trophozoite is oval, 4 to 10 by 3
to 6|:x, and has many food vacuoles con-
taining bacteria. The cysts are ovoid or
ellipsoidal; they are usually binucleate
but have 4 nuclei when mature. E. hominis
is readily cultivated on the usual media
for enteric protozoa such as LES medium;
cysts form in the cultures. It is non-path-
ogenic.
Fig. 14. A. Enteromonas. B. Retorta-
iiionas. X 2800. (Original)
Enteromonas suis (Knowles and Das
Gupta, 1929) Dobell, 1935 (syn. , Tricer-
comonas suis) was described from the
cecum of a pig in India. It was cultivated
easily in Dobell and Laidlaw's medium.
It is shaped like a broad, ovate leaf with
a more or less rounded anterior end and
a pointed posterior end, and is 9 to 20ju
long and 6 to 14/i wide. It moves slug-
gishly more or less directly forward and
does not rotate like Trichomonas. The
three anterior flagella are 8 to ISji long
OTHER FLAGELLATES
111
With a mean of 14fi, and the posterior
flagellum is 9 to 26|j, long with a mean of
17jLt. Simitch et al. (1959) found it in
2% of 1800 pigs in Yugoslavia.
FAMILY RETORTAMONADIDAE
Members of this family have 2 or 4
flagella, of which 1 is trailing, a single
nucleus and a cytostome with supporting
fibrils. There are 2 genera of veterinary
interest, Retortamonas and Chilomastix .
Genus RET0RTAA10NAS
Grassi, 1879
The body is usually piriform or fusi-
form, drawn out posteriorly, and plastic.
There is a large cytostome near the an-
terior end containing in its margin a
cytostomal fibril which extends across
the anterior end and posteriorly along
each side. An anterior flagellum and a
posteriorly directed, trailing flagellum
emerge from the cytostomal groove. The
cysts are piriform or ovoid, have 1 or 2
nuclei, and retain the cytostomal fibril.
A synonym of this genus is Embadonionas
Mackinnon, 1911. Species occur in var-
ious insects, amphibia, reptiles and mam-
mals. (Ansari, 1955, 1956).
Retortamonas intestinalis (Wenyon
and O'Connor, 1917) Wenrich, 1932 (syns. ,
Embadomonas intestinalis, Waskia intes-
tinalis) occurs in the cecum of man and
probably also in the chimpanzee, macaques
and other monkeys. Dobell (1935) was un-
able to infect a Macaca mulatta and a M.
sinica with cultures of R. intestinalis from
man, but nevertheless believed it likely
that the Retortamonas of man and maca-
ques belong to the same species. It is not
common in man, and is non- pathogenic.
The trophozoites oi R. intestinalis
are elongate piriform, 4 to 9|i.long and 3
to 4/i wide. The cysts are uninucleate,
piriform, 4. 5 to 7fj, long and 3 to 4. Sjj.
wide and have a rather thick wall. This
species can be cultivated in the usual cul-
ture media for intestinal protozoa.
Retortamonas ovis (Hegner and Schu-
maker, 1928) (syn. , Einbadoi)iO)ias ovis)
was described from trophozoites and cysts
in cultures from sheep feces in Maryland.
The trophozoites are piriform and average
5.2 by 3.4^L.
Retortamonas cuniculi (Collier and
Boeck, 1926) (syn. , Embadomonas cuni-
culi) occurs in the cecum of the rabbit.
The trophozoites are generally ovoid but
occasionally have a tail-like process; they
measure 7 to 13 by 5 to 10 |U . The cysts
are oval and measure 5 to 7 by 3 to 4 ji .
Collier and Boeck (1926) found this species
in 1 of 50 rabbits. It is apparently non-
pathogenic.
Genus CHILOMASTIX
Alexeieff, 1912
The body is piriform and plastic, with
a large cytostomal groove near the anterior
end containing in its margin a cytoplasmic
fibril which extends across the anterior end
and posteriorly along each side. The nu-
cleus is anterior. There are 3 anteriorly
directed flagella and a short fourth flagel-
lum which undulates within the cytostomal
cleft. Cysts are formed. Synonyms of this
genus are Macrostoma Alexeieff, 1909 and
Fanapepea Prowazek. Chilomastix is
found in mammals, birds, reptiles, am-
phibia, fish, insects and leeches. All spe-
cies are apparently non- pathogenic.
Chilomastix mesnili (Wenyon, 1910)
Alexeieff, 1912 (syns. , Macrostoma
mesnili, Chilomastix suis, Chilomastix
hominis) is found in the cecum and colon of
man, the orang-utan, chimpanzee, a num-
ber of monkeys {Macaca, Cercopithecus,
Cebus, Pithecus) and the pig. It is quite
common in man, having been found in 1 to
28% in various surveys; according to
Belding (1952), it was found in 3. 4% of
35, 577 persons in recent surveys in the
United States, and in 6. 1% of 19, 006 per-
sons elsewhere in the world. Frye and
Meleney (1932) found it in 3 of 127 pigs in
Tennessee. Kessel (1928) found it in pigs
in California, and Reichenow (1952) in
Hamburg, Germany. Simitch et al. (1959)
112
OTHER FLAGELLATES
found it in 1. 1% of 1800 pigs in Yugosla-
via.
Kessel (1924) transmitted C. mesnili
from man to monkeys, and Deschiens
(1926) from the chimpanzee to Macaca
siiiicci. However, Simitch el al. failed to
transmit C. iiiesiiili from man to 2 young
pigs and consequently named the pig form
C. sitis.
Fig. 15. Chiloniastix. A. Trophozoite.
B. Cyst. X 2800 (Original)
The trophozoites of C. mesnili are
asymmetrically piriform, with a spiral
groove running thru the middle half of the
body. The posterior end is drawn out
when the protozoa are moving. The
trophozoites are 6 to 24ji long and 3 to
10|i wide. The cytostomal cleft is about
6 to 8|i long and 2\i wide. A complex of
6 minute blepharoplasts lies anterior to
the nucleus; from them come the 3 free
anterior flagella (of which 2 are short and
the third is relatively long), the cytostomal
flagellum, and the 2 cytostomal fibrils.
The cysts are lemon-shaped, 6. 5 to lOfi
long, and contain a single nucleus and the
organelles of the trophozoite.
C. mesnili is ordinarily considered
non- pathogenic. However, Mueller (1959)
suggested that it might possibly be a mild
pathogen occasionally. He referred to an
outbreak of watery diarrhea in very young
children in Czechoslovakia and to his own
experience with watery diarrhea accom-
panied by swarms of Cliiloinaslix following
a visit to Mexico. This species can be
cultivated in the usual media used for in-
testinal protozoa.
C. cuniciili da Fonseca, 1915 occurs
in the cecum of the domestic rabbit. It is
morphologically similar to C. mesnili.
The trophozoite is ordinarily 10 to 15pL
long, but may range from 3 to 20fi .
C. ca/>rae da Fonseca, 1915 was re-
ported from the rumen of the goat in Bra-
zil. Das Gupta (1935) found it in India. It
is morphologically very similar to C. mes-
nili and is 8 to 10 ^L long and 4 to 6(1 wide.
C. gallinarum Martin and Robertson,
1911 occurs in the ceca of the chicken and
turkey. McDowell (1953) found it in 40%
of a large number of chickens in Pennsyl-
vania. The body is pear- or carrot-shaped,
11 to 20 by 5 to 12/1 . The nucleus is
pressed against the anterior end of the
body. The cytostomal pouch is 8-shaped,
spirals toward the left on the ventral side,
and extends 1/2 to 2/3 of the body length.
Cysts are rare in cecal material but com-
mon in culture. They are lemon-shaped,
measure 7 to 9 by 4 to 6 jj. , and have a
single nucleus. McDowell (1953) cultiva-
ted C. gallinarum easily in Ringer's solu-
tion with 0.2% gastric mucin at 39 to 40 C.
C. intestinalis Kuezynski, 1914 and
C. wenrichi Nie, 1948 occur in the cecum
of the gunea pig, and C. bettencoiirti da
Fonseca, 1915 in that of the laboratory
rat, domestic mouse and golden hamster.
FAMILY CALLIMASTIGIDAE
Members of this family have a single
nucleus and a compact antero-lateral group
of flagella which beat as a unit. There are
2 genera, Callimastix and Selenomonas.
Genus CALLIMASTIX
Weissenberg, 1912
The body is ovoid, with a compact
central or anterior nucleus. There are
OTHER FLAGELLATES
113
12 to 15 long flagella near the anterior end
which beat in unison. One species occurs
in the body cavity of copepods and the
others in ruminants and equids. They are
non- pathogenic.
CaUi)Jiastix frontalis Braune, 1913
occurs in the rumen of cattle, sheep and
goats thruout the world. Becker and Tal-
bot (1927) reported it in Iowa. The body is
spherical or ovoid, about 12 to 14 fi in di-
ameter. The nucleus has a large central
endosome. The 12 flagella are about 30 /i
long; they arise from a row of basal gran-
ules on the anterior margin of the body
and join to form a single unit distally.
This species has been found in material
submitted for diagnosis of Tritrichomonas
foetus infections (Morgan and Hawkins,
1952).
Callimastix eqiii Hsiung, 1929 occurs
in the cecum and colon of the horse. The
body is kidney- shaped with the hilus at its
anterior third; it is 12 to 18 ^l long and 7
to 10 fi wide with a mean of 14 by 8 /i .
Just behind the hilus is a clear, granule-
free area on the margin of which are 12 to
15 basal granules which give rise to fla-
gella 25 to 30 ^ long; these unite distally
and function as a unit. The rest of the
cytoplasm is filled with deeply staining
granules. The nucleus \s Zii in diameter
has a large endosome and lies near the
center of the body.
Genus SEUNOMONAS
Von Prowazek, 1913
The body is kidney- to crescent-
shaped, with blunt ends. One or more
flagella are attached to the middle of the
concave side. The flagella are thicker at
the base than at the free end and are
usually 1 to 1. 5 times as long as the body.
The nucleus is highly retractile and lies
on the concave side near the base of the
flagella. Reproduction is by transverse
binary fission thru the flagellar region.
This genus has been placed by many au-
thors in the Spirillaceae among the bac-
teria, but Jeynes (1955, 1956) showed
that it is actually a protozoon. It is not
pathogenic.
Selenomonas ruminantium (Certes,
1889) Wenyon, 1926 (syns., Ancyromonas
ri())iiiiantiii»i. Seleiioniastix rioiiinantium)
occurs in the rumen of cattle, sheep,
goats and various wild ruminants including
the gazelle, giraffe, antelope (CepJialoplins
)uaxivelli) in Africa and the pronghorn an-
telope (A)itilocapra ainericmia), deer
(Odocoileus hemionus) and elk {Cervus
iianiiodes) in the United States (California).
It was also found in the blood of the African
antelope by Kerandel (1909), of the prong-
horn antelope by Chattin, Herman and
Kirby (1944) and of the deer (O. lieii/ioiiKs)
by Herman and Sayama (1951) in California.
According to Lessel (1957), S. rii»iinan-
tiiu)i is the predominant organism found on
microscopic examination of the rumen
juices.
The body of S. ru})ii)iautii(>n is cres-
cent-shaped, 9. 5 to 11 by 2 to 3 li , with a
tuft of flagella arising from the center of
the concave side. The nucleus is in the
center of the concave side. There are no
cysts. This species has not been culti-
vated.
Fig. 16. Selenomonas ruminantium.
X 2800. (Original)
Selenomonas palpitans Simons, 1922
occurs in the cecum and upper part of the
colon of the guinea pig.
S. spidigeua (Flugge, 1886) Dobell,
1932 occurs in the mouth of man. It grows
well in thioglycollate broth.
FAMILY POLYMASTIGIDAE
Members of this family have 4 anter-
ior flagella, an axostyle and a single
114
OTHER FLAGELLATES
nucleus. They apparently lack a para-
basal body. The only genus found in do-
mestic animals is Monocerconiunoides .
Genus MONOCERCOMONOfDES
Travis, 1932
Members of this genus have 4 anterior
flagella in 2 pairs, a pelta and an axostyle
which is generally filamentous. Nie (1950)
described 1 to 4 strand-like funises which
stain with protargol in 4 species of this
genus from the guinea pig. The funis is
a costa-like structure extending backwards
just beneath the body surface. Members
of this genus occur in insects, amphibia,
reptiles and a number of mammals. They
are non-pathogenic.
Monocercomonoides caprae (Das
Gupta, 1935) (syn. , Monocercomonas
caprae) was described from the rumen of
the goat in India. The body is ovoid, 6 to
12(1 long and 4 to 8 p. wide.
Monocercomonoides caviae (Cunha
and Muniz, 1921) Nie, 1950, M. qiiadri-
funilis Nie, 1950, Al. ivenrichi Nie, 1950
andM. exilis Nie, 1950 occur in the cecum
of the guinea pig.
MonocercoDionoides sp. was found by
Saxe (1954) in the laboratory rat and
golden hamster. He transmitted it from
the hamster to the rat. This species
awaits morphologic study and specific
characterization.
Genus COCHLOSOMA
Kotlan, 1923
The body is ovoid, broadly rounded
anteriorly and narrowly rounded poster-
iorly. Six flagella of unequal length arise
from a blepharoplastic complex at the an-
terior end; 2 of them are trailing and lie
in a longitudinal groove. The nucleus is
near the middle of the body. A slender,
fibrillar axostyle and a more lateral costa
arise from the blepharoplastic complex.
On the anteroventral surface is a large
sucker which opens on the left side and
has a marginal filament. A parabasal
body is present.
Cochlosoma anatis Kotlan, 1923 (syn. ,
Cochlosoma roslratn»i) occurs in the cloaca,
large intestine and sometimes the ceca of
the domestic duck, Muscovy duck and also
in the wild mallard and various other wild
ducks. It has been reported in Hungary by
Kotlan (1923), in California by Kimura
(1934), in Iowa by Travis (1938), and is
probably worldwide in distribution. Kimura
(1934) found it in 23 of 30 White Pekin and
Muscovy ducks in central California.
The body of C. anatis is beet-shaped,
6 to 12^1 long and 4 to Yfi wide. The sucker
covers 1/3 to 12 the body length. The or-
ganism swims forward with an erratic,
jerky motion, rotating on its long axis but
with very little of the dipping motion of
Giardia. The parabasal body is sausage-
shaped. Reproduction is by longitudinal
fission. C. anatis has not been cultivated.
FAMILY COCHLOSOMATIDAE
In this family there are 6 anterior
flagella, an axostyle, an anteroventral
sucker, and a single nucleus. There may
or may not be a parabasal body. The only
genus so far reported from domestic ani-
mals is Cochlosoma, but Cyathostonia
Tyzzer, 1930 and Ptychostoma Tyzzer,
1930 have been described from the ruffed
grouse (Bonasa iimbellus) in North Amer-
ica.
The pathogenicity of C. anatis in water-
fowl is unknown. Kimura (1934) found it in
both healthy and sick birds, but the condi-
tion of the latter was due to bacterial or
nutritional disturbances, and even in heavy
Cochlosonia infections there was no intes-
tinal inflammation. Travis (1938) found
no lesions in the infected domestic and
wild ducks which he examined.
McNeil and Hinshaw (1942) reported
finding a Cochlosoma morphologically in-
distinguishable from C. anatis in turkeys
OTHER FLAGELLATES
115
in California. In young poults it was pres-
ent thruout the intestinal tract, and in
adults in the region of the cecal tonsil.
Campbell (1945) found Coclilosonia in
large numbers in the intestinal tracts of a
flock of young turkeys in Scotland affected
with a disease clinically and pathologically
indistinguishable from infectious catarrhal
enteritis due to Hexa»iita meleagridis.
Both McNeil and Hinshaw and Campbell
considered the turkey form to be the same
species found in ducks, but experimental
and further morphological studies are
needed to be sure of this.
It has not been established whether
this form is pathogenic for turkeys.
Campbell believed that it was the cause of
the enteritis which he saw, but Hexamita
was also usually detectable in his affected
birds. In the turkey poults studied by
McNeil and Hinshaw, Cochlosoma was al-
ways found in association with Hexamita
or with Hexamita and SalDionella.
FAMILY HEXAMITIDAE
Members of this family are bilaterally
symmetrical, with 2 nuclei, 6 or 8 fla-
gella and sometimes with axostyles and
parabasal bodies. Three genera are of
veterinary interest: Hexamita, Giardia
and Trepomonas.
Genus HEXAMITA
Dujardin, 1838
The body is piriform, with 2 nuclei
near the anterior end, 6 anterior and 2
posterior flagella and 2 independent axo-
styles (which may possibly be hollow tubes
rather than rods). The body is quite sym-
metrical, three anterior flagella and 1
posterior one arising on each side. Free-
living forms have 1 or 2 contractile vac-
uoles. The cytostome is obscure if pres-
ent. Some species form cysts. Some
members of this genus are free-living,
while others are parasitic in insects,
other invertebrates and all classes of ver-
tebrates. The taxonomic relations of the
various species are greatly confused, and
much work is needed before they will be
understood. Reasons why some workers
use the spelling Hexamitus are given by
Kirby and Honigberg (1949).
HEXAMITA MELEAGRIDIS
McNEIL, fflNSHAW AND
KOFOID, 1941
Disease : Hexamitosis, infectious
catarrhal enteritis.
Hosts : Turkey, peafowl, California
valley quail, Gambel's quail, chukar par-
tridge, ring-neck pheasant, golden pheas-
ant. See Levine, Beamer and McNeil
(1952) for references. H. meleagridis
has been transmitted from the turkey to
the chicken, quail and domestic duck, and
from the ring-neck pheasant, quail and
chukar partridge to the turkey.
Location : Duodenum and small in-
testine of younger birds; some occur in
the cecum and bursa of Fabricius, espe-
cially in adults.
Geographic Distribution : United
States, Canada, Great Britain, South
America (Uruguay). The distribution of
hexamitosis in California has been dis-
cussed by Hinshaw, McNeil and Kofoid
(1938). It has been reported from Con-
necticut by Jungherr and Gifford (1944),
from Indiana by Doyle, Cable and Moses
(1947), from Virginia by Farr, Wehr and
Jaquette (1948), from Alberta by Vance
and Bigland (1956), from Scotland by
Campbell (1945) and from England by
Slavin and Wilson (1953). It also occurs
in Illinois.
Prevalence : The published reports
of outbreaks of hexamitosis are too few to
give a true picture of its importance. It
occurs in all major turkey producing areas
in the United States and in other countries
as well. It appears to be particularly im-
portant in California. The U. S. Dept. of
Agriculture (1954) estimated that it causes
an annual loss of $667,000 in turkeys in
the United States.
Morphology : The body is 6 to 12/i
long and 2 to 5/j, wide, with a mean of 9
llfi
OTHER FLAGELLATES
by 3/i. The two nuclei contain round endo-
somes 2/3 the diameter of the nucleus.
Anterior to each nucleus is a large blephar-
aroplast or group of blepharoplasts from
which 2 anterior and 1 anterolateral fla-
gella arise. Just behind this blepharoplast
is another from which the caudal flagellum
arises. The caudal flagella pass poster-
iorly in a granular line of cytoplasm to
their points of emergence near the poster-
ior end of the body. Hexamita moves ra-
pidly without the spiralling characteristic
of trichomonads.
Fig. 17. Hexamita iiieleagridis.
(Original)
X 2800.
Life Cycle : Multiplication is by
longitudinal binary fission. Slavin and
Wilson (1953) and Wilson and Slavin (1955)
described what they believed to be schizog-
ony and cyst formation, but Hoare (1955)
considered their idea to be purely specu-
lative and inacceptable.
Pathogenesis : Hexamitosis is a dis-
ease of young birds; adults are symptom-
less carriers. The mortality in a flock
may be as high as 70 to 80%, but heavy
losses seldom occur in poults over ten
weeks old. Affected poults appear nervous
at first, have a stilted gait, ruffled, un-
kempt feathers, and a foamy, watery
diarrhea. They usually continue to eat,
but chirp continually. They lose weight
rapidly, become listless, weak and finally
die. Birds often do not appear to be ill
until shortly before death, but examination
will reveal that they are thin and have
lowered temperatures. Birds which re-
cover grow poorly, and an outbreak may
leave many stunted birds in its wake.
The incubation period is 4 to 7 days.
Poults may die within a day after signs
appear. In acute outbreaks, the mortality
reaches a peak in the flock in 7 to 10 days
after the first birds die; in other flocks,
deaths may continue for 3 weeks.
The principal pathological changes
are found in the small intestine. Catarrhal
inflammation with marked lack of tone is
present in the duodenum, jejunum and
ileum. The intestinal contents are usually
thin, watery and foamy, with localized
bulbous swellings filled with watery fluid.
The small intestine, especially the anter-
ior part, is inflamed and edematous. The
cecal contents are usually fluid, and the
cecal tonsils are congested.
Epidemiology : Hexamita is trans-
mitted thru contaminated feed and water.
Carrier adult birds which have survived
earlier attacks are the most important
source of infection for turkey poults.
Sometimes the disease does not appear in
the earlier hatches but strikes the later
ones after the adults have been sold. This
may come about because the infections in
the earlier hatches were very light or per-
haps because the virulence of the strains
was too low to cause noticeable disease.
According to Hinshaw (1959) it may take
several passages in poults of a strain from
carrier turkeys before an acute outbreak
occurs.
Wild quail, pheasants and chukar par-
tridges sharing the range with turkeys may
also be a source of infection.
Hot weather and overcrowding may
also contribute to the severity of an out-
break. In addition, the role of flies de-
serves study. Turkey poults are excellent
fly-catchers, and these insects might carry
the protozoa from one pen to another.
Diagnosis : Hexamitosis can be diag-
nosed by finding the protozoa in scrapings
from the small intestine, and particularly
OTHER FLAGELLATES
117
from the jejunum and duodenum. The
smears should be mixed with physiological
salt solution and examined while fresh.
Hexanilta can be readily differentiated
from TrichoDionas, Giardia or Cochlosoma
by its small size, absence of a sucker or
undulating membrane, and characteristic
motion. Impression smears can also be
made of cross sections of fresh small in-
testine, dried rapidly and stained with
Giemsa's stain; the protozoa are often
found in groups in the crypts. Hexaiiiita
can also be found in the bursa of Fabricius
and cecal tonsils in carrier birds.
Cultivation : Hexamita nieleagridis
has not been cultivated in artificial culture
media, but Hughes and Zander (1954) cul-
tured it axenically in the chorioallantoic
fluid of chick embryos.
Treatment : No treatment has appar-
ently been uniformly successful for hexa-
mitosis. McNeil (1948) recommended
replacing the drinking water for several
days with a mixture of 3% dried whey in
1-2000 aqueous copper sulfate solution.
It must be begun early in an outbreak to be
effective, and Wilson and Slavin (1955) did
not find it to be of value in their studies.
Almquist and Johnson (1951) found in
preliminary tests that streptomycin was
ineffective, but that penicillin, chlortetra-
cycline and oxytetracycline were of some
value. Enheptin also gave good results
when fed as 0.1% of the mash for 14 days.
Wilson and Slavin (1955) said that they
tested every antiprotozoal drug available
commercially in England (including anti-
malarials, trypanocides, amoebicides and
antiluetics) without success. Enheptin was
only about 50% effective in experimentally
infected poults. The most promising drug
was di-n-butyl tin dilaurate, which ap-
peared to control mild field outbreaks and
to lower the death rate in more severe
ones.
Mangrum et al. (1955) reported that
furazolidone reduced mortality in exper-
imentally infected turkey poults. McNeil
(1958) mentioned that nithiazide had been
used successfully by Merck, Sharp &
Dohme Research Laboratories in a com-
bined outbreak of histomonosis and hexa-
mitosis.
Prevention and Control : Hexamitosis
can be prevented by proper management
and sanitation. Poults should be separated
from adults, and separate caretakers should
be used for the two groups. If feasible,
breeding birds should be sold 2 weeks before
any poults are hatched. Separate equipment
should be used for different groups of birds.
Attendants should keep out of the pens, and
the feeders and waterers should be placed
where they can be reached from the outside.
Feeders and waterers should be placed on
wire platforms. Young birds should be kept
on wire. Ranges frequented by pheasants,
quail and chukar partridges should be
avoided. General sanitation and fly control
should be practiced.
OTHER SPECIES OF HEXAMITA
Hexamita columbae (NoUer and Butt-
gereit, 1923) (syn. , Octo»iitus coliiuibae)
occurs in the duodenum, jejunum, ileum
and large intestine of the pigeon. It is 5
to 9|u long and 2. 5 to 7 p. wide. It is path-
ogenic, causing a catarrhal enteritis.
Noller and Buttgereit (1923) found it in
great masses from the gizzard to the anus
in a pigeon with catarrhal enteritis in Ger-
many, and McNeil and Hinshaw (1941)
found it in affected pigeons in California.
They were unable to infect turkeys with
this species.
Hexam ita -was found by Kotlan (1923)
in the intestinal mucus of the domestic
duck in Hungary. He called it "Hexamitus
intestinalis (?)". It was usually piriform,
10 to 13/i long and 4 to 5(u wide. Kimura
(1934) found Hexamita in the ceca and large
intestine of domestic ducks in California.
McNeil and Hinshaw (1941) infected domes-
tic ducks experimentally with H. melea-
gridis from the turkey. It is uncertain
whether the duck form is a separate species.
It has not been adequately described, and
its pathogenesis is unknown.
Hexamita muris (Grassi, 1881) (syns. ,
Octomitus muris, Syndyomita nniris) occurs
in the posterior small intestine and cecum
118
OTHER FLAGELLATES
of the Norway rat, house mouse, golden
hamster and various wild rodents. It
measures 7 to 9 by 2 to 3 (i .
Wenrich (1933) described Hexamita
sp. from the feces of a rhesus monkey.
It measured 4 to 6 by 2 to 4 jj, .
Genus OCTOMIlUi
Von Prowazek, 1904
The body is piriform, with 2 nuclei
near the anterior end, and 6 antenior and
2 posterior flagella. The body is quite
symmetrical, 3 anterior flagella and 1
posterior one arising on each side. There
are 2 axostyles which originate at the an-
terior end and fuse as they pass poster-
iorly, emerging as a single central rod
from the middle of the posterior end.
This genus differs from Hexamita, of
which it was formerly considered a syn-
onym, in the structure of its axostyles
(Gabel, 1954).
Octomitus pulcher (Becker, 1926)
Gabel, 1954 (syn. , O. intestinalis) occurs
in the cecum of the Norway rat, house
mouse, golden hamster, ground squirrels
and other wild rodents. It measures 6 to
10 by 3 to 7 /i.
Genus GIARDIA Kunstler, 1882
The body is piriform to ellipsoidal,
and bilaterally symmetrical. The anterior
end is broadly rounded, and the posterior
end is drawn out. There is a large suck-
ing disc on the ventral side; the dorsal
side is convex. There are 2 anterior nu-
clei, 2 slender axostyles, 8 flagella in 4
pairs, and a pair of darkly staining median
bodies. The cysts have 2 or 4 nuclei and
a number of fibrillar remnants of the
trophozoite organelles. A synonym of this
generic name is Lamblia Blanchard, 1888.
The names given the species of Giardia
depend on the authorities concerned. Tra-
ditionally, it has been believed that Giardia
is highly host-specific, and different names
have been given to almost all the forms in
different hosts. Thus, if we accept the
names in Ansari's (1951, 1952) review,
the species in cattle is G. bovis, that in
goats and sheep G. caprae, that in the dog
G. canis, that in the cat G. cali, that in
the rabbit G. duodenaiis , that in the guinea
pig G. caviae, those in the Norway rat G.
muris and G. simoni, and those in the
house mouse G. muris a.ndG. microti.
However, Filice (1952) was unable to find
any morphological difference between the
giardias of the laboratory rat and a num-
ber of wild rodents, and on reviewing the
literature discovered that almost no ac-
ceptable cross-transmission studies exist
between some species. Altho he did not
discuss them all, he appears to have con-
cluded that there are only two species of
Giardia in mammals, each with a number
of races. G. muris occurs in the mouse,
rat and hamster, and G. duodenaiis in the
rabbit, rat, chinchilla, ground squirrel,
deermouse, pocket mouse, man and pre-
sumably ox, dog, cat and guinea pig,
among others. The essential difference
between these two forms is that the median
bodies of G. muris are small and rounded
while those of G. duodenaiis are long, re-
semble somewhat the claw of a claw-ham-
mer, and lie approximately transversely
across the body.
In this connection, Hegner's (1930),
Armaghan's (1937) and Haiba's (1956)
success in infecting laboratory rats with
Giardia from man suggests that Filice' s
view may eventually prevail. However,
careful cross-transmission studies must
be carried out before a decision can be
made. In the meantime, it is more con-
venient to use different specific names for
most of the forms from different hosts.
Associated with this nomenclatorial
problem is an important epidemiological
one. If it turns out that Giardia can be
freely transmitted from one host to an-
other, we shall have to revise our ideas
about the danger to man of infections in
laboratory and domestic animals, and of
infections in one domestic animal to others.
Here is an area of ignorance which de-
serves exploration.
Giardia has not yet been cultivated in
artificial media, a fact which has hampered
OTHER FLAGELLATES
119
studies both of its epidemiology and path-
ogenicity. However, Karapetyan (1960)
cultivated G. lamblia in chicken fibroblast
tissue cultures.
GIARDIA LAMBLIA
STILES, 1915
Synonyms : CercoiHOiias iiitestinalis,
Lamblia intestinalis, Giardia intestinalis ,
Megasto))Hi entericiiiii , Giardia enterica.
European writers still call this species
Giardia intestinalis, but there was so
much confusion about the availability of
the specific names intestinalis and enter-
ica that Stiles (1915) established the pres-
ent name.
Disease : Giardiosis.
Hosts : Man, Old and New World
monkeys, pig. Hegner (1930) and Arma-
ghan (1937) infected laboratory rats and
Bonestell (1935) infected woodrats (Neo-
tonia fiiscipes) with G. huiiblia from man.
Haiba (1956) infected wild and laboratory
Rattus norvegicus , but failed to infect
wild R. rattus and laboratory mice with
G. lamblia from man.
duodenalis type. The cysts are ovoid, 8
to 12j;i long and 7 to lO/i wide, and con-
tain 4 nuclei.
Pathogenesis : There was considerable
controversy for many years whether Giardia
is pathogenic in man, but it is now gener-
ally agreed that it may be in some individ-
uals. Most infections are symptomless,
but in a fairly small number there is a
chronic diarrhea. The feces contain a
large amount of mucus and fat but no blood.
The diarrhea is accompanied by dull epi-
gastric pain and flatulence. Affected per-
sons have a poor appetite and lose weight.
In some cases the gall bladder may be in-
vaded and cholecystitis may be present,
but there is no proof that the protozoa
caused this condition. Pizzi (1957) reviewed
some of the literature on the pathogenicity
of G. lamblia and concluded that in heavy
infections it may also interfere with fat
absorption and produce a deficiency in fat-
soluble vitamins. It is more often patho-
genic in children than adults.
The pathogenicity of G.
sv/ine is unknown.
lamblia for
Location : Duodenum, jejunum, upper
small intestine.
Geographic Distribution : Worldwide.
Prevalence : G. lamblia is common
in man. In 86 surveys of 134,966 people
thruout the world summarized by Belding
(1952), its prevalence ranged from 2.4 to
67. 5% with a mean of 10. 4%. It was found
in 7. 4% of 35, 299 persons in 24 surveys
in the United States, and in 6. 9% of 65, 295
persons in 20 surveys in the rest of the
world. It is about 3 times as common in
children as in adults.
G. lamblia was reported from a pig
in Tennessee by Frye and Meleney (1932).
Its prevalence in swine is unknown.
Morphology : The trophozoites are 9
to 21 ju long, 5 to 15 p. wide and 2 to 4/^
thick; they are usually 12 to 15ju long.
The median bodies are curved bars of the
Fig. 18. A. Giardia trophozoite. X 2800.
(After Filice, 1952). B. Giardia
bovis cyst. X 2900. (From
Becker and Frye, 1929)
120
OTHER FLAGELLATES
Diagnosis : Giardia infections can be
diagnosed by recognition of trophozoites
or cysts in stained fecal smears. Fixation
with Schaudinn's fluid and staining with iron
hematoxylin are recommended. Tropho-
zoites alone are generally found in diarrheic
stools. The cysts can be concentrated by
the flotation technic. Zinc sulfate solution
should be used for flotation; sugar and
other salt solutions distort the cysts and
make them unrecognizable.
Cultivation : Neither G. lamblia nor
any other species of Giardia has been cul-
tivated in artificial media. Karapetyan
(1960) cultured it in chicken fibroblast
tissue cultures along with the yeast, Can-
dida guillierniondi. The protozoon did not
develop without the yeast, which led him to
believe that there may be a synergistic re-
lation between the 2 organisms.
Treatment : Giardia infections in man
can be successfully treated with either
quinacrine or chloroquine. Three oral
doses of 0. 1 g each are given daily for 5
days. Amodiaquin is considered even
better than these (Lamadrid-Montemayor,
1954); a single dose of 0. 6 g is given to
adults.
Prevention and Control: These de-
pend on sanitation. Cerva (1955) found
that 2 to 5% phenol or lysol would kill G.
lamblia cysts, but that chloramine, mer-
curic chloride, formalin and a number of
other disinfectants were ineffective in the
concentrations commonly used. The cysts
were killed by temperatures above 50° C
and, after 10 hours, by freezing below
-20° C. They remained viable in water
for over 3 months.
GIARDIA CANIS
HEGhfER, 1922
Host: Dog.
Location : Duodenum, jejunum, upper
small intestine. Tsuchiya (1932) found
the optimum location to be 10 to 30 inches
posterior to the stomach in puppies on a
carbohydrate diet and 25 to 40 inches
from the stomach in puppies on a high
protein diet.
Geographic Distribution : North
America (United States, Canada), South
America (Uruguay).
Prevalence : Catcott (1946) found G.
canis in 17. 7% of 113 dogs in Ohio. Cho-
quette and Gelinas (1950) found it in 9.0%
of 155 dogs in Montreal, Canada. Craige
(1948) found it in 8. 8% of 160 dogs in Cal-
ifornia. We have seen it a number of
times in dogs in Illinois, but have not at-
tempted a survey.
Morphology : The trophozoite is 12
to 17 ;j long and 7 to 10 ji wide. The me-
dian bodies are curved bars of the duoden-
alis type. The cysts measure 9 to 13 by
7 to 9 fi .
Pathogenesis : The pathogenicity of
G. canis for the dog has still to be incon-
trovertibly determined. Catcott (1946)
noted diarrhea in one-third of his positive
dogs. Craige (1948) found Giardia in 17
of 71 dogs with dysentery, but in 13 of them
other organisms which he considered path-
ogenic were also present. Choquette (1950)
found Giardia in several cases of dysentery,
but some of these were complicated by
other conditions. Tsuchiya (1931) reported
that diarrheic stools alternated with formed
stools in a number of experimentally in-
fected puppies, but was uncertain whether
it was due to an existing pathological con-
dition or to the flagellates. According to
Tsuchiya (1932), a carbohydrate diet is
more favorable for G. ca)iis than a high
protein diet.
Diagnosis : Same as for G. lamblia.
Treatment : Quinacrine has been
found effective against G. canis. Craige
(1949) gave dogs 50 to 100 mg twice daily
for 2 or 3 days, repeating if necessary
after 3 to 4 days. Choquette (1950) gave
large dogs 0. 2 g three times the first day
and twice a day for 6 more days; he gave
small dogs 0. 1 g twice the first day and
once a day for 6 more days. Chloroquine
has also been found effective in man; 0. 1
g is given 3 times a day for 5 days.
Prevention and Control : The standard
sanitary measures should be used in pre-
venting the transmission of Giardia.
OTHER FLAGELLATES
121
GIARDIA CATI
DESCfflENS, 1925
Synonym s : Giardia felis .
Host : Cat.
Location : Small intestine, large in-
testine. Hitchcock and Malewitz (1956)
noted G. cati trophozoites thruout the
small intestine, cecum and colon (except
at the pyloric valve) of a naturally infected
64-day-old kitten in Michigan. They were
most numerous in the lower part of the
small intestine.
Geographic Distribution : North
America (United States), Europe (France).
Prevalence : Hitchcock (1953) found
Giardia in 8 of 14 kittens in Michigan.
Morphology : It is quite likely that
this species is a synonym of G. canis.
The trophozoites are 10 to 18 jj, long and 5
to 9 jLi wide with a mean of 13 by 7 ji . The
median bodies are bars of the duodenalis
type. The cysts are 10. S/jL long and 7/1
wide.
Pathogenesis : Unknown. The in-
fected cats studied by Hitchcock (1953) and
Hitchcock and Malewitz (1956) apparently
had no signs of enteritis.
GIARDIA BOVIS
FANTHAM, 1921
Host: Ox.
Location: Duodenum, jejunum, ileum.
Geographic Distribution : North
America (United States), Europe (England,
Holland, Austria, Italy), South Africa.
Prevalence : Unknown. Becker and
Frye (1927) found this species in the feces
of cattle in Iowa, Nieschulz (1923) saw it
in a calf in Holland, Graham (1935) found
it alive and active in the digestive tract of
6 of 21 female Cooperia oncophora from a
calf from New Jersey, and we have found
it from time to time in casual examinations
in Illinois.
Morphology : The trophozoites are
11 to 19 jn long and 7 to lOfi wide. The
median bodies are curved bars of the duo-
denalis type. The cysts are 7 to 16fj. long
and 4 to lOfi wide.
Pathogenesis : The pathogenicity of
G. bovis is unknown. Supperer (1952)
found it in a calf in Austria with a mucous
diarrhea. The calf was killed for necropsy
diagnosis and was found to have catarrhal
duodenitis and jejunitis; the mucosa was
dark red, thickened and lay in folds. Botti
(1956, 1956a) found it in calves with hem-
orrhagic diarrhea in Italy. On the other
hand, the cattle in which we saw the or-
ganism in Illinois did not appear to be
affected by it.
OTHER SPECIES OF GIARDIA
Giardia caprae Nieschulz, 1923 (syn. ,
G. ovis) was reported from the anterior
part of the small intestine of 2 goats in
Holland. Nieschulz (1924) described it
further. Its trophozoites are 9 to 17 /i long
and 6 to 9jj, wide with a mean of 13. 5 by
7. 5/i. The median bodies are curved bars
of the duodenalis type. The cysts have 4
nuclei and measure 12 to 15 by 7 to 9/1
with a mean of 14 by 8 /j, .
Giardia caprae was found by Grassi
(1881) in sheep in Italy and by Turner and
Murnane (1932) in the small intestine of
sheep in Australia. The Australian sheep
had been losing weight gradually for sev-
eral months. Deas (1959) found it in a
lamb with enteritis in England. D. A.
Willigan (unpubl. ) found Giardia in 3 of 24
iambs brought to the University of Illinois
Veterinary Diagnostic Service. All came
from a single flock in which many of the
lambs were suffering from diarrhea and
loss of weight, but coccidiosis and sal-
monellosis were also found. Dissanaike
(1954) found live and active G. caprae in
the intestines of 50 female and no male
Nematodirus filicollis from 5 sheep in
England.
Giardia equi Fantham, 1921 was or-
iginally found in the large intestine of a
horse in South Africa. Varela and Sal-
samendi (1958) found it in the feces of a
122
OTHER FLAGELLATES
horse with colic in Venezuela. Its troph-
ozoites measure 17 to 21 by 9 to 12 jx , and
its cysts measure 12 to 16 by 8 to 9. 5 fi .
Giardia duodenalis (Davaine, 1875)
(syns. , HexuDiila duodenalis, LciDiblia
cuniciili) occurs in the anterior small in-
testine of Old and New World rabbits and
also in Coeiidu uillosus in Brazil. It oc-
curs sporadically and is apparently not
pathogenic. Its trophozoites measure 13
to 19 by 8 to 11 |i with a mean of 16 by 9^t .
The median bodies are curved bars re-
sembling the claws of a claw-hammer; th
they lie transversely across the body.
The cysts contain 2 to 4 nuclei.
Giardia simoni Lavier, 1924 occurs
in the anterior small intestine of the Nor-
way rat, golden hamster and probably
various wild rodents. Its trophozoites
measure 11 to 19 by 5 to 11 jj,. Its median
bodies are curved bars of the duudenalis
type.
G. 7nuris (Grassi, 1879) occurs in
the anterior small intestine of the house
mouse, Norway rat, black rat, golden
hamster and various wild rodents. It is
common in laboratory rats and mice. Its
trophozoites measure 7 to 13 by 5 to I0\i.
Its median bodies are small and rounded.
G. curiae Hegner, 1923 occurs in the
anterior small intestine of the guinea pig.
Its trophozoites measure 8 to 15 by 6. 5
to lOfi. Its median bodies are curved
bars of the duodenalis type.
Giardia chinchillae Filice, 1952
emend, (syn. , Giardia duodenalis race
chinchillae Morgan, 1949 of Filice, 1952;
altho he gave the first description of this
form, Morgan did not give it a specific
name; the name chinchillae vfas intro-
duced by Filice) occurs frequently in the
chinchilla. It is found thruout the small
intestine, but more commonly in the duo-
denum and anterior jejunum. Its troph-
ozoites measure 11 to 20 by 6 to 12 j:i .
Its median bodies are curved bars of the
duodenalis type. This species has been
accused by various workers of causing
diarrhea and even death (Shelton, 1954;
Gorham and Farrell, 1955). Treatment
with 6 to 9 mg quinacrine for 5 to 7 days
was found by Hagan (1950) to eliminate the
infection. Attempts to transmit G. chin-
chillae to the golden hamster, white mouse,
domestic rabbit or guinea pig have been un-
successful (Morgan, 1949; Shelton, 1954).
Genus TREPOfAONAS Dujardin, 1841
These are free-swimming protozoa
with a more or less rounded, bilaterally
symmetrical body and with a cytostomal
groove on each side of the posterior half.
There are 8 flagella, of which 1 long and
3 short ones are present on each side. A
horseshoe-shaped structure near the an-
terior margin contains the 2 nuclei. Mem-
bers of this genus are free-living in fresh
water, coprophilic or parasitic in am-
phibia, fish and turtles.
Trepomonas agilis Dujardin, 1841
occurs in stagnant water and the intestine
of amphibia and is also coprophilic. It is
7 to 25jj. long and 2 to 15|i wide, with a
flattened body and with the posterior end
wider than the rounded anterior end. The
flagella come off near the middle of the
body at the anterior end of the cytostome.
ORDER PROTOMASTIGORIDA
Members of this order have 1 or 2
flagella.
FAMILY BODONIDAE
Members of this family have 2 fla-
gella which originate anteriorly; one is
directed anteriorly and the other poster-
iorly. The anterior end is more or less
drawn out. There are 1 to several con-
tractile vacuoles. There are several gen-
era of free-living and parasitic forms in
this family.
Genus BODO Stein, 1875
These are small, more or less ovoid,
plastic forms with an anterior cytostome
and a central or anterior nucleus. Cysts
are forme'd.
OTHER FLAGELLATES
123
Bodo caudatus (Dujardin, 1841) Stein,
1878 is a common coprophilic form and
also occurs in stale urine and stagnant
water. It is 8 to 18;U long and 2. 5 to 6)ll
wide, with a polymorphic body ranging in
shape from spherical to elongate ovoid.
It has a tiny contractile vacuole, a single
vesicular nucleus with a large endosome
and a rounded parabasal body. This spe-
cies and also B. foetus and B.glissans
have been found in material from bulls
submitted for TritricIiouw>ias foetus diag-
nosis.
Genus CBRCOMONAS Dujardin, 1841
These are small forms with a plastic
body, one flagellum directed anteriorly
and the other running backward over the
body to become a trailing flagellum. The
nucleus is piriform and is connected with
the basal granule of the flagella. The
cysts are spherical and uninucleate. A
number of freshwater and coprophilic
species have been described, but it is not
clear whether all the species are valid.
Cercomonas longicauda Dujardin,
1841 is a common coprophilic flagellate.
Its trophozoites are amoeboid, 2 to 15 /j.
long, have 2 contractile vacuoles, and
ingest food by means of pseudopods. Its
cysts are 4 to 7jj, in diameter.
Cercomonas heimi (Hollande) is sim-
ilar to C. longicauda but is piriform and
has longer flagella.
Cercomonas equi (Sabrazes and Mur-
atet, 1908) (syn. , C. asini) was described
from the large intestine of the horse and
donkey and also occurs in their feces.
coprophilic. It has been found in material
from bulls submitted for examination for
Tritrichomonas foetus (Morgan and Haw-
kins, 1952). Its trophozoites measure 10
to 16 by 7 to 10 /ix.
Fig. 19. Coprophilic flagellates. A. Cer-
comonas sp. X 4200. B. Copro-
nionas subtilis. X 5100.
C. Moiias sp. X 4200. (From
Noble, 1956)
Noble (1956) found Cercomonas sp.
in fresh bovine and porcine feces, and
cultivated them in feces in the refrigerator
at 4° C for 5 months. Noble (1958) found
that Cerco»io)ms sp. appeared in fecal
specimens from Wyoming elk, bison, cat-
tle, horses and sheep after storage at 4°C
for 6 to 7 days. They persisted for sev-
eral weeks and then died out. They failed
to survive in soil alone or in soil mixed
with boiled feces, nor could they be found
in soil samples taken from areas where
elk, sheep or horses were present. Noble
concluded that this and other coprophilic
protozoa may require certain essential
metabolites produced by bacteria.
Cercomonas faecicola (Woodcock and
Lapage, 1915) (syn., Helkesimastix fae-
cicola) was found in the feces of the goat.
It is ovoid, with a rigid, pointed anterior
end. The anterior flagellum is very short
and easily overlooked. The trophozoites
are 4 to 6jLt long and the cysts 3 to 3. 5 /i
in diameter.
Cercomonas crassicauda Dujardin,
1841 occurs in fresh water and is also
The Cercomonas sp. trophozoites ob-
served by Noble (1958) were 5. 4 by 2. 5jj,,
somewhat tadpole-shaped, with a broad
anterior end tapering to a highly flexible
tail-like posterior end. An extremely
short anterior flagellum, visible only with
phase contrast, extended from a minute
subterminal cytostome. Another flagellum
arose from the anterior region, passed
thru the cytoplasm ventral to the nucleus,
emerged about 2/3 of the body length from
124
OTHER FLAGELLATES
the anterior end, and continued as a long
trailing whip. Eight to 10 large, dark
cytoplasmic granules were arranged along
this flagellum. The cytoplasm contained
a large contractile vacuole and many food
vacuoles. The nucleus was vesicular.
Genus PLEUROMONAS Perty, 1852
The body is somewhat amoeboid.
The 2 flagella often appear to emerge
separately from the body. The anterior
flagellum is very short and often rolled
up into a ring. The posterior flagellum
is very thick and more than 2 to 3 times
the length of the body. There is a single
vesicular nucleus. The cyst is spherical,
and 4 to 8 young individuals apparently
emerge from it.
There is a single species in this
genus, Pleuromonas jacidans Perty, 1852,
which occurs in stagnant water. It is 6 to
lOfi long and about Sfi wide. Uribe(1921)
found large numbers of this protozoon in
the ceca of young chickens which he had
fed Heterakis material, and believed that
it could become adapted to parasitism.
Genus PROTEROMONAS
Kunstler, 1883
The body is spindle-shaped. An an-
terior and a free trailing flagellum arise
from 2 blepharoplasts at the anterior end.
The nucleus is anterior to the middle of
the body and contains scattered chromatin
granules but no endosome. A rhizoplast
runs from the blepharoplast to a centro-
some on the nuclear membrane. A peri-
rhizoplastic ring surrounds the rhizoplast
a short distance behind the blepharoplast;
this is considered a parabasal body. A
paranuclear body the same size as the
nucleus lies beside the nucleus; it divides
when the nucleus divides, and stains with
hematoxylin but not with protargol. All
the species are parasitic. They are com-
mon in the intestines of reptiles and am-
phibia. Synonyms of this genus are
Prowazekella Alexeieff, 1912 and Sc/ii2o-
bodo Chatton, 1917.
Proteromonas brevifilia Alexeieff,
1946 occurs in the cecum of the guinea
pig-
FAMILY AMPHIMONADIDAE
Members of this family have a naked
or loricate body with 2 equal flagella.
There are several genera, mainly in fresh
water.
Genus SPIROMONAS Perty, 1914
Members of this genus have an elon-
gate, spirally twisted body with 2 anterior
flagella. They form spherical cysts in
which division into 4 daughter individuals
takes place. They live in fresh water. A
synonym is Alphanwnas Alexeieff.
Spiromonas miffusta (Dujardin) Alex-
eieff lives in stagnant water or is copro-
philic. It has also been found in bull
sheath washings. It is spindle-shaped and
about lOfi long.
SUBCLASS PHYTOMASTIGASINA
Members of this subclass typically
have chromatophores and holophytic nu-
trition. Some are colorless but closely
resemble other holophytic forms and are
derived from them or from a common
ancestor. A few are coprophilic and still
fewer are parasitic. In each group the
parasitic mode of life has undoubtedly
arisen anew.
ORDER CHRYSOMONADORIDA
In this order the chromatophores, if
present, are yellow, brown, orange or
occasionally blue. The stored reserves
include leucosin (presumably a polysac-
charide) and lipids, but no starch. There
are five suborders in the Chrysomonador-
ida, but only one of them, Euchrysomon-
adorina, contains forms of veterinary or
medical interest. In this suborder the
flagellate stage is dominant, and neither
a siliceous skeleton nor a peripheral zone
OTHER FLAGELLATES
125
of coccoliths is present. This suborder
contains 4 families, 2 of which contain
parasitic or coprophilic species.
FAMILY CHROMULINIDAE
Members of this family have a single
flagellum.
Genus OIKOMONAS Kent, 1880
Members of this genus lack chromato-
phores, lorica or test. They are solitary.
The nucleus is near the center of the body.
The single flagellum arises from a basal
granule near the body surface. Cysts are
formed, at least in the free-living species.
This genus is the colorless homolog of
Chroninlina. Its parasitic species are
poorly known.
Oikomonas communis Liebetanz,
1910 and Oikomonas mini)>ia Liebetanz,
1910 were both described from the rumen
of cattle. They are said to differ in size,
the former being up to 11 /i long and the
latter more than 4(i long; this is probably
not a valid difference. Das Gupta (1935)
found 0. communis in the rumen of goats
in India.
Oikomonas equi Hsiung, 1930 was
found in the cecum of 8 horses in Iowa.
It is usually spherical or ovoid and swims
in a jerky manner. The nucleus has a
large, central endosome and the cytoplasm
is filled with small, dark-staining gran-
ules. The body is 3. 5 to 1 [i long and 3 to
5. 5/1 wide. The flagellum is about 20 /i
long.
Genus SPHAIROMONAS
Liebetanz, 1910
The body is spherical or ellipsoidal,
with a more or less central nucleus. A
single, long flagellum arises from a basal
granule on the nuclear membrane. This
genus is poorly known and has apparently
not been studied by modern methods. It
is closely related to Oikomonas and may
even be a synonym of that genus. Several
species have been named, all parasitic,
but most of them are probably the same.
Sphaeromonas communis Liebetanz,
1910 (syns. , S. minima, S. maxima, S.
liebeta)izi, S. rossica) occurs in the rumen
of the ox and goat and in the cecum and
feces of the guinea pig. It may also be
coprophilic. Liebetanz (1910) and Braune
(1914) found it in the rumen of cattle in
Europe, Becker and Talbott (1927) found
it in the rumen of a few cattle in Iowa
(calling it, however, Monas communis),
and Fonseca (1916) found it in cattle and
goats and also in the guinea pig in Brazil.
Yakimoff et al. (1921) found it in the
guinea pig in Russia. The body is spher-
ical or ellipsoidal, 3 to Mfi in diameter.
The cytoplasm contains many dark-staining
granules.
Genus CAVIOMONAS Nie, 1950
The body is naked, without chromato-
phores and with a vesicular nucleus at the
anterior end. One flagellum arises from
the nuclear membrane. A band-like peri-
style arises from the nuclear membrane
opposite to the origin of the flagellum and
extends posteriorly along the periphery of
the body surface; it stains with hematoxylin
and protargol. Cytostome and contractile
vacuoles are absent.
Caviomonas mobilis Nie, 1950 occurs
in the cecum of the guinea pig. The body
is ovoid to elongate carrot-shaped and the
posterior end is often pointed. It measures
2 to 7 by 2 to 3 n with a mean of 4 by 3 /j. .
FAMILY OCHROMONADIDAE
Members of this family have 1 long
and 1 short flagellum.
Genus MONAS Muller, 1773
The body is active and plastic. Chrom-
atophores are absent. This genus is the
colorless homolog of Ochromonas . Reyn-
olds (1934) recognized 13 free-living spe-
cies, and in addition there is at least 1
coprophilic one.
126
OTHER FLAGELLATES
Noble (1956) cultivated Monas sp. in
bovine feces at 4" C in the refrigerator
for 5 months. He also (1958) found that
Motias sp. appeared in fecal samples from
Wyoming elk, bison and bear after storage
at 4° C for 7 to 27 days. The protozoa
persisted for several weeks and then died
out. They failed to survive in soil or in
soil mixed with boiled feces, nor could
they be found in soil samples taken from
areas whei-e elk, sheep or horses were
present. Noble concluded that this and
other coprophilic protozoa may require
certain essential metabolites produced by
bacteria. The form which Noble studied
was spherical and 4(i in diameter. He
assigned it to the "Moiias coiiininnis" re-
ported by Becker and Talbott (1927) from
the rumen of cattle, but the latter had
only a single flagellum and was Spliaeyo-
ntuiias co>iii)iH)iis.
Moiias obliqua Schewiakoff has been
found in material from bulls submitted
for Trilricliomonas foetus diagnosis
(Morgan and Hawkins, 1952).
ORDER EUGLENORIDA
In this order the chromatophores, if
present, are green. The stored reserves
include lipids and paramylum. There is
a reservoir or "gullet" from the posterior
or postero-dorsal wall of which the fla-
gella arise. There are 3 suborders in the
Euglenorida, of which the Euglenorina in-
cludes one genus containing coprophilic
forms.
nucleus is vesicular, with a large endo-
some. Permanent fusion followed by en-
cystment takes place. Nutrition is holo-
zoic on bacteria.
Copromonas subtilis Dobell, 1908
(syn. , Copromonas ruminantium) was first
described from the feces of frogs and
toads, but has since been found in the feces
of man and various domestic and wild mam-
mals, Wenyon (1926) and Noble (1956)
found it in pig feces. Woodcock (1916)
found it in goat feces. Noble (1958) found
that it appeared in fecal samples from
Wyoming elk, bison, cattle, horses, sheep
and moose after storage at 4 ' C for 7 to 11
days. It persisted from 2. 5 months in the
bison samples to more than 18 to 24 months
in the elk and cattle samples. It failed to
survive in soil or in soil mixed with boiled
feces, nor could it be found in soil samples
taken from areas where elk, sheep or
horses were present.
The trophozoites of C. subtilis are 7
to 20 (i long. They are usually ovoid, but
can change from spindle-shaped to almost
round. The flagellum is 1 to 2 times the
length of the body. When the animal
swims straight, only the tip of the flagellum
moves; the flagellum is sometimes used
like a highly flexible probe. The cysts are
ovoid or spherical and 7 to 8)j. long. They
have a thin wall and clear contents with a
single vesicular nucleus.
Reichenow (1952) and Grasse' (1952)
considered that Copromonas subtilis is a
synonym of Scytomoiias piisilla Stein, 1878,
which was incompletely described by Stein.
FAMILY ASTASilDAE
Members of this family have a single
flagellum. They lack chromatophores or
a stigma.
Genus COPROMONAS Dobell, 1908
The body is elongate ovoid, with an
elongate reservoir at the anterior end into
which a contractile vacuole discharges.
The single flagellum arises from a bleph-
aroplast at the base of the reservoir. The
ORDER PHYTOMONADORIDA
In this order a single large green
chromatophore is typical. The stored re-
serves are starch and sometimes lipids.
No members of this order are parasites of
domestic animals or man, but one species
deserves mention.
Polytoma uvellaEhrenberg, 1838
occurs in infusions and stagnant water,
and has been found in bull sheath washings
submitted for Tritrichomonas foetus
OTHER FLAGELLATES
127
diagnosis (Morgan and Hawkins, 1952).
Its body is ovoid to piriform, 15 to 30 by
9 to 20 |i, without chromatophores and
with numerous starch granules in the
posterior part of the body. A red or pink
stigma may or may not be present. There
are 2 anterior flagella of equal length.
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The amoebae belong to the class Sar-
codasida. Members of this class move by
means of pseudopods. They have no cilia
and, except in rare instances, no flagella.
The group is named for sarcode, a term
introduced by Dujardin for what was later
called protoplasm. Most sarcodasids are
holozoic, ingesting their prey by means
of their pseudopods. Their cytoplasm is
usually divided into endoplasm, containing
the food vacuoles, nucleus, etc., and rel-
atively clear ectoplasm. The fresh water
forms contain one or more contractile
vacuoles; these are absent in the salt water
and parasitic species. With a few excep-
tions, reproduction is asexual, by binary
fission or rarely by multiple fission, by
budding or by plasmotomy. Most species
form cysts.
The Sarcodasida originated from the
Mastigasida. The group did not arise
from a single progenitor, but is polyphyle-
tic. One line, for example, passes from
Tetramitus thru Naegleria to Vahlkampfia.
In Tetramitus, which is usually classified
among the flagellates, the life cycle in-
cludes flagellate and amoeboid stages,
and the flagellate stage has a permanent
cytostome. In Naegleria, which is usually
classified among the amoebae, the life
cycle also includes flagellate and amoeboid
stages, but there is no permanent cyto-
stome. In Vahlkampfia, there is no fla-
gellate stage, but the amoebae are very
similar to those of Naegleria. Another
line passes from the amoeboid flagellate,
Histomonas, to the very similar but non-
flagellate amoeba, Dientamoeba.
Only a few of the Sarcodasida are
parasitic. The free-living forms include
the most beautiful protozoa of all, the
pelagic Radiolaria with their delicate,
latticework siliceous skeletons. One
group of Radiolaria has skeletons of stron-
tium sulfate- -perhaps some day proto-
zoologists will be asked to develop ways
of using them to eliminate strontium 90
pollution. Another marine group, the
Foraminifera, has calcareous shells.
Chapter 7
THE
AMOEBAE
129 -
130
THE AMOEBAE
Their skeletons form our chalk, and they
and the Radiolaria are of great geological
interest. They are used, too, as indica-
tors in oil well drilling. More species of
Foraminifera have probably been named
than of all the other protozoa put together;
493 new species and 53 new genera of
Foraminifera were listed in the Zoological
Record for 1956, and of these, 470 species
and 48 genera were fossil. In contrast, 57
new species and 4 new genera of parasitic
protozoa were listed. And this was not an
exceptional year.
ORDER AMOEBORIDA
Members of this order have lobopodia
and are naked, without a test. All of the
parasitic and all but one of the coprophilic
Sarcodasida are found in this order.
FAMILY NAEGLERIIDAE
This family is transitional between
the Mastigasida and the Sarcodasida.
Both amoeboid and flagellate stages occur
in its life cycle.
ORDER TESTACEORIDA
Members of this order have a single-
chambered shell or test.
FAMILY ARCELLIDAE
The test is simple and membranous,
without foreign bodies, platelets or scales.
The pseudopods are filose or simply
branched and do not anastomose. There
are many genera and species of free-living
protozoa in this family. They are found
commonly in fresh water, swamps, etc.
One species is coprophilic.
Genus CHLAMYDOPHRYS
Cienkowski, 1876
The test is rigid and circular in cross
section. The nucleus is vesicular, with a
prominent endosome. The cytoplasm is
differentiated into distinct zones, and re-
fractile waste granules are present in it.
The pseudopods are branching.
Chlamydophrys slercorea Cienkowski,
1876 has an oval, white porcelaneous, thin,
smooth shell open at the pointed end. It
measures about 20 by 14 /i. The pseudo-
pods are filose. Somewhat smaller naked
amoebae may also be seen. The cysts are
uninucleate, 12 to l'b\i in diameter, with
thick, irregular, brownish walls. Multi-
plication is by budding. C. slercorea is
coprophilic and may also be found in fresh
water.
Genus NAEGLERIA Alexeieff,
1912 emend. Calkins, 1913
The flagellate stage has 2 flagella.
The amoeboid stage has lobopodia and re-
sembles Vahlkanipfia. The nucleus is
vesicular, with a large endosome. The
contractile vacuole is conspicuous. The
cysts are uninucleate. Naegleria lives on
bacteria and is free-living in stagnant
water or coprophilic.
Naegleria gruberi (Schardinger) (syn. ,
Dimasligamoeba gruberi) is found in stag-
nant water and is also coprophilic. The
active amoebae are 10 to 36 by 8 to 18 p.
and have a single vesicular nucleus 3 to
4fj, in diameter. The nucleus has a cen-
tral endosome and sparse granules of
peripheral chromatin. The flagellate stage
is 18 by 9 (i, ovoid, and has 2 equal anter-
ior flagella. It can be produced from the
amoeboid stage by flooding the culture with
distilled water and exposing it to air. The
cysts are spherical, 8 to 12 /i in diameter,
translucent, with a single nucleus and sev-
eral large spherical chromatoid bodies
when first formed. The cyst wall is double,
and the outer wall is perforated by 3 to 8
pores.
Genus TRIMASTIGAMOEBA
Whitmore, 1911
The nucleus is vesicular, with a large
endosome. The flagellate stage has 3 fla-
gella (4 according to Bovee, 1959) and the
THE AMOEBAE
131
amoeboid stage is relatively small. The
cysts are uninucleate, with a smooth wall.
Triiuastigamoeba philippinensis Whit-
more, 1911 was first found in human
feces. Bovee (1959) rediscovered it in
sewage-seepage into a spring in Florida
and redescribed it. According to Whit-
more (1911), the flagellate stage has 3
(occasionally 2 or 4) anterior flagella and
measures 16 to 22 by 6 to 8 j:i . Bovee,
however, found that there are actually 4
anterior flagella which arise in pairs from
2 basal granules adjacent to the nucleus.
The flagella lie in an anterior, gullet-like,
cylindrical invagination and extend 20 to
25 [x beyond it. According to Bovee, the
fully formed flagellate stage is 17 to 20 |i
long, its larger rear end is 6. 5 to 7. 5 ji
in diameter, the narrower anterior end
is 4. 5 to 5. 5|U in diameter and the anter-
ior pocket is 1 ji deep.
The amoeboid stage was said by
Whitmore (1911) to be 16 to 18 ii in diam-
eter. Bovee (1959) said that it is 12 to
18fi in diameter when at rest and 30 to
40 (i long and 14 to 20 )i wide during rapid
locomotion. It moves quickly by means
of rapidly-extruded eruptive waves at its
frontal margin. It feeds principally on
bacteria and has a contractile vacuole
which is formed by the union of several
small vacuoles in about 2 minutes. The
cysts are oval to subspherical. Whitmore
(1911) gave their dimensions as 13 to 14
by 8 to 12 fi.
FAMILY AMOEBIDAE
Members of this family are free-living
or coprophilic. They have no flagellate
phase. This family contains, besides
Amoeba and a number of other free-living
genera, several coprophilic species and
one which can produce disease with a little
human help.
Genus ACANTHAMOEBA
Volkonsky, 1931
These are relatively small amoebae
without well developed ectoplasm. The
nucleus is vesicular, with a large endo-
some. During mitosis, the nuclear mem-
brane disappears at prophase. The mi-
totic figure at the end of metaphase is a
straight or concave spindle with sharply
pointed poles. The cysts are angular and
polyhedric, with 2 membranes, the outer
one being highly wrinkled and mammillated.
Acanthamoeba hyalina (Dobell and
O'Connor, 1921) Volkonsky, 1931 (syn. ,
Hartnianiiella hyalina) is a common copro-
philic form. It occurs in soil and fresh
water and is easily cultivated from old
human and animal feces. Its trophozoites
are 9 to 17 fi in diameter when rounded.
It has a single contractile vacuole and a
single vesicular nucleus with a central
endosome and peripheral chromatin. The
cysts are spherical, 10 to 15fi in diam-
eter, with a thin, smooth inner wail and
a thick, wrinkled, brownish outer wall.
Walker (1908) described an amoeba
from the intestinal tract of the turkey in
Massachusetts under the name A»ieba
gallopavoiiis which Chatton (1953) listed
as Acanthamoeba gallopavonis Walker.
It had angular cysts and may be synony-
mous with A. hyalina.
Acanthamoeba has occasionally been
encountered as a contaminant of tissue
cultures and, because of its pathogenicity
on injection and the resistance of its cysts
to virucidal agents, it is a potential haz-
ard in vaccines prepared from viruses
grown in tissue culture.
Jahnes, Fullmer, and Li (1957) and
Culbertson, Smith and Minner (1958)
isolated an Acanthamoeba sp. from tissue
cultures of trypsinized monkey kidney
cells. The latter first recognized the
amoebae in the lesions of monkeys which
had died following inoculation of tissue
culture fluid thought to contain an unknown
virus but later shown to contain only
Acanthamoeba. Following intracerebral
and intraspinal inoculation into cortison-
ized monkeys, the amoebae caused ex-
tensive choriomeningitis, destructive
encephalomyelitis and death in 4 to 7 days.
Following intracerebral inoculation into
mice, they caused destructive encepha-
litis and death in 3 to 4 days. Following
intranasal instillation into mice, they
132
THE AMOEBAE
produced ulcers in the nasal mucous mem-
brane and invaded the adjacent base of the
skull, involving the frontal lobes of the
brain and causing death in about 4 days.
Following intravenous inoculation into
mice, they caused perivascular granulo-
matous lesions in the lungs. These were
associated with severe pneumonia, exten-
sive fibrinopurulent exudate containing
polymorphonuclear leucocytes and mono-
cytes, hemorrhage, and invasion of the
pulmonary veins followed by the formation
of thrombi containing the amoebae.
McCowen and Galloway (1959) also
isolated Acanlhamoeba sp. from tissue
cultures of trypsinized monkey kidney
cells. They studied the pathogenicity for
mice of this strain and of others isolated
from the same source. The average sur-
vival time of intracerebrally inoculated
mice was approximately 5 days. Cysts
remained virulent for mice after storage
at -67 °C for 15 months.
Genus SAPPINIA Dangeard, 1896
In this genus the trophozoites have 2
closely associated nuclei with large endo-
somes. The cysts are binucleate also.
Sappinia diploidea (Hartmann and
Nagler, 1908) Alexeieff, 1912 is a com-
mon coprophilic amoeba in the feces of
man and other animals. Its trophozoites
are 10 to 60 fi long, with a thick, smooth,
hyaline pellicle; according to Noble (1958),
the ectoplasm has fine lines sometimes
resembling wrinkles in cellophane. Two
nuclei are present, usually pressed
tightly together. Each nucleus has a
large endosome and frequently a crescentic
mass of granules between the endosome
and the nuclear membrane. The cytoplasm
is usually filled with many food vacuoles.
A contractile vacuole is present, formed
by the enlargement and coalescence of
smaller vacuoles. A single, clear, broad
pseudopod is characteristic, altho occa-
sionally many pseudopods may be present.
Cytoplasmic granules and food vacuoles
are concentrated between the pseudopod
and the rest of the body. Movement is
quite sluggish. The cytoplasmic granules
usually move rapidly. The cysts are typ-
ically binucleate, 12 to 18/i or more in
diameter, with thick, uniform walls. The
cysts are formed from 2 individuals which
come together and secrete a common cyst
wall; their nuclei fuse so that each one has
a single nucleus, their cytoplasm fuses,
each nucleus gives off reduction bodies,
and the 2 remaining nuclei come into con-
tact to make the cyst binucleate.
Noble (1958) found that 6'. diploidea
appeared in fecal samples from Wyoming
elk and bison (but not from cattle, horses
and sheep) after storage at 4° C for a few
days to a few weeks. It failed to survive
in soil or in soil mixed with boiled feces,
nor could it be found in soil samples taken
from areas where elk, sheep or horses
were present.
S. diploidea is readily cultivated.
Noble (1958), for example, cultivated it
both at 4^^ C and at room temperature on
the surface of agar plates containing 1. 5%
agar, 0. 05% yeast extract and 0. 05% pep-
tone. The cultures held at room temper-
ature became moldy after 6 weeks. Sap-
pinia was present for 2 to 3 weeks in the
cultures at 4° C.
Genus VAHLK4MPF/A Chatton and
Lalung-Bonnaire, 1912 emend.
Calkins, 1913
These are small amoebae with a nu-
cleus containing a large endosome and
peripheral chromatin, with polar caps
during nuclear division. The trophozoites
have a single broad pseudopod and move
like a slug. The cysts have a perforated
wall. The nucleus of this genus closely
resembles that of Naegleria, but the latter
has both flagellate and amoeboid stages.
A number of species have been described
from fresh water, old feces, lower verte-
brates and invertebrates, but the taxonomy,
nomenclature and validity of some of them
are not certain.
Vahlkampfia punctata (Dangeard, 1910)
Chatton and Lalung-Bonnaire, 1912 has
been found in human feces. Its cysts have
punctate markings.
THE AMOEBAE
133
Vahlkanipfia lobospinosa (Craig, 1912)
Craig, 1913 is another coprophilic species.
Becker and Talbott (1927) found it in the
rumen of a cow in Iowa. Its trophozoites
are 10 to 24 ju long. Its cysts have 1 or 2
nuclei and are 7 to 11 (i in diameter.
Noble (1958) found that Vahlkampfia
sp. appeared in fecal samples from Wy-
oming elk, bison, cattle, horses, sheep,
moose and marmots after storage at 4^ C
for a few days to a few weeks. The proto-
zoa persisted for several months. They
failed to survive in soil, nor were they
present in soil samples taken from areas
where elk, sheep or horses were present.
The trophozoites were 20 to 40 p. in diam-
eter, with finely granular cytoplasm
filled with food vacuoles and other parti-
cles. A contractile vacuole was present.
The pseudopods were broad, usually slug-
gish but sometimes formed almost explo-
sively; often there was only a single,
large pseudopod. The nucleus was ves-
icular, with a large, central endosome
occasionally appearing to be composed of
several closely packed granules. Peri-
pheral chromatin was rarely present,
altho a ring of minute granules was often
present just within the nuclear membrane.
The cysts were 8 to 15 in in diameter and
almost exclusively mononucleate. The
nucleus was different from that of the
trophozoite. Its central endosome was
usually smaller than in the trophozoite
and often composed of several granules,
and the peripheral chromatin was distinct,
arranged in irregular clumps and often
forming a crescent. A large vacuole and
irregular chromatoid bodies, many of
which resembled those of Entamoeba his-
tolytica, were present. Noble believed
that many of the cysts found in animal
and human feces and described as those
of Entamoeba are actually of the Vahl-
kampfia type.
Noble (1958) cultured this species at
both 4° C and room temperature on the
surface of agar- plates containing 1 . 5%
agar, 0. 05% yeast extract and 0. 05% pep-
tone. The cultures held at room temper-
ature became moldy after 6 weeks and
were discarded, but Vahlkampfia was
present for 3 months without attention in
those held at 4° C.
FAMILY ENDAMOEBIDAE
Members of this family are parasitic
in the digestive tract of vertebrates and
invertebrates. The genera are differen-
tiated on the basis of nuclear morphology.
Four genera contain parasites of domestic
animals and man, but only two of these
contain pathogenic species. However, it
is important to be able to identify the var-
ious species in order to know whether an
infection with a pathogenic one is present
or not.
Genus ENTAMOEBA Casagrandi and
Barbagallo, 1895
The nucleus is vesicular, with a com-
paratively small endosome located at or
near its center, with or without periendo-
somal granules around the endosome, and
with a varying number of granules around
the periphery of the nucleus. Cysts are
formed; they contain 1 to 8 nuclei and may
or may not contain chromatoid bodies
(rod-like bodies which stain with hema-
toxylin and which are absorbed and dis-
appear as the cysts mature). This genus
occurs in both vertebrates and inverte-
brates.
The name of this genus was the sub-
ject of one of the most famous taxonomic
controversies in protozoology (Dobell,
1938; Kirby, 1945). The genus Endamoeba
was established by Leidy in 1879 for an
amoeba of the cockroach, Endamoebae
blattae. In 1895 and in ignorance of this
name, Casagrandi and Barbagallo intro-
duced the name Entamoeba for the human
amoeba, E. coll. The nuclei of these two
forms are very different, that of the cock-
roach species lacking a central endosome.
Since the appearance of the nucleus is the
most important differentiating character
between genera in this family, it is ob-
vious to a protozoologist that these forms
belong in different genera. However, the
first syllable of their names is derived
from the same Greek root. Hence the In-
ternational Commission of Zoological
Nomenclature was asked to decide whether
the name that had been given second
should be changed to something else (i.e. ,
whether the two names were homonyms).
134
THE AMOEBAE
The Commission, which had no protozo-
ologists among its members, went beyond
this, and decided that £^^/rt»/0(;^/>f/ was a
synonym of EiidcDiiueba and that both pro-
tozoa belonged to the same genus. Altho
the latter is obviously not true, this dic-
tum was accepted by many protozoologists.
Finally, after much agitation and several
long, involved papers by various author-
ities, the International Commission finally
reversed itself, and Enlanioeha is now
universally recognized as the correct
name for the species occurring in verte-
brates.
The nomenclature and taxonomy of the
species of Eiitamoeha are about as con-
fused as it is possible to make them.
Some of the problems are explained below,
but puzzle addicts are referred to the
cited papers for the details.
Members of the genus found in domes-
tic animals and man can be divided into 4
groups on the basis of trophozoite and
cyst morphology. A fifth group includes
species about which insufficient morpho-
logical information is available to deter-
mine which of the other groups they belong
in. Most of the species within each group
are morphologically indistinguishable;
they are differentiated on the basis of size,
hosts, pathogenicity, etc. Criteria of
this type are given different weights by
different taxonomists, and this fact com-
bined with a lack of cross-transmission
studies for many species accounts for
some of the confusion. More is due to
the fact that the original descriptions of
some of the species were so poor as to
make it difficult or impossible to be sure
what forms the authors were dealing with.
The groups of Entamoeba will be des-
cribed first, and then the individual spe-
cies.
1. fflSTOLYTICA GROUP. The nucleus
has a small, central endosome, a
ring of small peripheral granules and
a few scattered chromatin granules
between them. The cysts have 4 nuclei
when mature, and their chromatoid
bodies are rods with rounded ends.
Glycogen vacuoles, when present in
the cyst, are usually diffuse and ill-
defined.
Entamoeba histolytica of man, other
primates, the dog, cat and rarely
the pig.
E)itai)ioeba harliuauiii of man and pre-
sumably also of the other hosts of
E. histolytica.
Entamoeba eqni of the horse.
Entanioeba anal is of the duck.
Entamoeba moshkovskii of sewage.
2. COLI GROUP. The nucleus has a
somewhat larger, eccentric endosome
than that of the histolytica group and
has a ring of coarse peripheral gran-
ules and some scattered chromatin
granules between them. The cysts
have 8 nuclei when mature, and their
chromatoid bodies are splinter-like.
Glycogen vacuoles, when present in
the cyst, may be fairly well defined.
Entamoeba coli of man, other pri-
mates, the dog and possibly the pig.
Entamoeba wenyoni of the goat.
E)itamoeba nniris of mice, rats, ham-
sters, and other rodents.
Entamoeba caviae of the guinea pig.
Entamoeba cunicnli of rabbits.
Entamoeba galli)iaynm of the chicken,
turkey, guinea fowl, duck, and goose.
3. BO VIS GROUP. The endosome of the
nucleus varies in size; it may be as
small as that of the histolytica group,
but is generally larger than that of the
coli group. The ring of peripheral
granules in the nucleus may be fine or
coarse, evenly or irregularly distrib-
uted. Periendosomal granules may be
present. The cysts have 1 nucleus
when mature, and their chromatoid
bodies are either rods with rounded
ends or less often splinter-like. Gly-
cogen granules, when present in the
cyst, are usually fairly well defined.
Entamoeba bovis of cattle.
Entamoeba ovis of sheep and goats.
Entamoeba dilimani of goats.
Entanioeba siiis of the pig and perhaps
man.
Entamoeba bubalis of the carabao.
E)ita»ioeba cliattoni of monkeys and
probably man.
THE AMOEBAE
135
4. GINGIVALIS GROUP. The nucleus
has a small, central endosome and a
ring of small peripheral granules.
There are no cysts. Members of this
group are found in the mouth.
Entamoeba gingivalis of man, other
primates, the dog and cat.
E)ita>noeba equibuccalis of the horse.
Entamoeba suigingivalis of the pig.
5. INSUFFICIENTLY KNOWN SPECIES.
This group includes Entamoeba gedo-
etsti of the horse and E. caudata of
the dog. The nucleus of E. caudata
resembles that of E. coli, while the
nucleus of E. caudata resembles that
of E. histolytica. The cysts of these
species are unknown.
The only species of Entamoeba patho-
genic for mammals is E. histolytica. The
fact that it has been recorded in an aver-
age of about 18% of the people examined in
various surveys thruout the world and yet
only about 1/5 of them have signs or symp-
toms of disease has puzzled epidemiolo-
gists for many years. Two other facts
contribute to the problem. One is that
there are two different sizes of these
amoebae, the smaller of which is not asso-
ciated with disease; it has been encountered
in about 1/3 of the people in these surveys.
The other is that amoebic dysentery occurs
mostly in the tropics. Autochthonous cases
occur so seldom in western Europe that
many European parasitologists believe that
cases of amoebic dysentery which occur in
their countries have been imported from
the tropics either directly or thru contact
with infected persons. These parasitolo-
gists have not had the benefit of the Amer-
ican experience with the disease. There
is no question that indigenous cases occur
in the temperate ZQne of this country.
Several hypotheses have been advanced
in explanation (see Hoare, 1958). The
first theory, suggested about 1913 and still
held by perhaps the majority of parasitolo-
gists, is based on an unwillingness to
assign separate specific names to protozoa
which differ only in size and pathogenicity.
According to this view, the species Enta-
moeba histolytica is composed of a small
race and a large race. The small race is
not pathogenic, while the large race may
or may not be. In its virulent phase the
latter invades the tissues; the tropho-
zoites of this phase are large- -the "magna"
form. In its commensal phase it remains
in the lumen of the intestine, feeding on
bacteria and saprozoically. The tropho-
zoites of this phase are small--the "minuta"
form. Under proper conditions, this non-
pathogenic "minuta" form can invade the
intestinal mucosa and turn into the patho-
genic "magna" form. The trophozoites of
the small race of E. histolytica are usually
12 to 15 |U in diameter and the cysts are 5
to 9|Li in diameter with a mean of 7 to 8/1.
The trophozoites of the "magna" form of
the large race are 20 to 30 jj, and those of
the "minuta" form 12 to 15 |U. in diameter.
However, the cysts of both the "magna"
and "minuta" forms are the same size, 10
to 20 jj, in diameter, with a mean of about
12^.
The second theory was proposed by
Brumpt in 1925. He recognized 3 species.
He called the small, non- pathogenic race
Enta?noeba liartmanni, and divided the
large race into 2 species. Of these, E.
dispar is non- pathogenic and occurs thru-
out the world, while E. dysenteriae is
pathogenic, altho it may cause no apparent
symptoms in carriers, and occurs only in
warm and hot countries.
The third theory was formulated for-
mally by Hoare in 1957. It calls the small,
non- pathogenic race E. hartmanni, but re-
tains the name E. histolytica for the large
race of the first theory. It then divides E.
histolytica into an avirulent race (corres-
ponding to Brumpt' s E. dispar) and a viru-
lent race (corresponding to Brumpt's E.
dysenteriae) which may invade the gut wall
or live in the lumen without causing symp-
toms.
This view has a great deal to recom-
mend it. By giving the non- pathogenic
small form a separate name, it makes it
easier for the physician to interpret lab-
oratory reports and prevents faulty diag-
noses and needless treatment. However,
the question whether there actually are
completely non- pathogenic strains of E.
136
THE AMOEBAE
histolytica (sensu stricto) which cannot be
induced to become pathogenic has not yet
been answered satisfactorily. Concomi-
tant bacteria, nutritional deficiencies and
other factors affect the pathogenicity of
the amoebae. Indeed, Phillips el al.
(1955) found it impossible to infect bac-
teria-free guinea pigs with E. histolytica
at all, altho normal guinea pigs or those
infected with Escherichia coli or Aero-
bacter aerogenes could be readily infected
and subsequently developed intestinal le-
sions.
Some of the amoebae reported as E.
histolytica from domestic animals may
well have been actually E. hartnianni. but
unless they were specifically described as
having small cysts, it is impossible to
know which they were.
The above discussion has to do pri-
marily with a matter of nomenclature. In
addition, another species morphologically
identical with E. histolytica has been
found in sewage. This is E. moshkovskii
It has not been found in fresh feces, but
nevertheless its existence must be taken
into consideration in diagnosis. It is not
infective for rats, kittens, guinea pigs or
frog or salamander larvae and its optimum
temperature is about 24° C, altho it will
grow poorly at 37° C.
Before beginning a systematic account
of the species of Entamoeba, a word is in
order regarding the bovis group. All of
these look alike, with minor differences
which may not be of taxonomic significance.
Different names have been given to the
forms in different hosts, but no cross-
transmission studies have been attempted,
and it is quite likely that when they are,
some of these forms will be found to be
synonyms. In this case. Entamoeba bovis
will have precedence over the other names.
The name Entamoeba polecki has
been used for members of the bovis group
from the pig and goat, but it is a nomeu
nudum. Prowazek's (1912) original des-
cription and figures of it are so poor that
it is impossible to know whether he was
dealing with a member of the genus Enta-
moeba at all.
Noble and Noble (1952) and Hoare
(1959) have reviewed the amoebae of do-
mestic animals.
ENTAMOEBA IIISTOL YTICA
SCHAUDINN, 1903
Synonyms : Amoeba coli, Amoeba
dysenleriae, Entamoeba tetragena. Enta-
moeba dispar. Entamoeba venaticum.
Disease : Amoebic dysentery.
Hosts : Man, orang-utan, gorilla,
chimpanzee, gibbon, many species of
macaques, baboons, spider monkeys and
other monkeys, dog, cat, pig, rat, pos-
sibly cattle. The rat, mouse, guinea pig
and rabbit are often infected experimentally.
Location : Large intestine, some-
times liver, occasionally lungs, and rarely
other organs including the brain, spleen,
etc.
Geographic Distribution : Worldwide.
Maps of the world distribution of amoebic
dysentery and E. Jiistolytica, together
with climatological and other information,
were published by Piekarski and Westphal
(1952) and Westphal (1955).
Prevalence : E. histolytica is most
important as a parasite of man. It also
occurs in monkeys and higher primates.
According to Belding (1952), it was found
in an average of 17.6% of 42,713 persons
(range, 0.8 to 50%) in 37 surveys thruout
the world from 1941 to 1948. In 10 surveys
of 10,867 persons in the United States from
1941 to 1948, it was found in an average of
13.6% (range, 0.8 to 38%).
According to Benson, Fremming and
Young (1955), it has given considerable
trouble in their chimpanzee colony at the
Univ. of Texas.
Sporadic cases of amoebic dysentery
have been reported in dogs; these animals
are generally considered to have acquired
their infections from human contacts.
Kartulis (1891, 1913) found £. histolytica
causing dysentery in 3 dogs in Egypt; in
THE AMOEBAE
137
Q
Fig. 20. Species of Entamoeba. A. E. hislolylica trophozoite. B. E. histolytica cyst.
C. E. hartmanni trophozoite. D. E. Iiartmanni cyst. E. E. coli cyst.
F. E. coli trophozoite. G. E. gallinarum trophozoite. H. E. gallinarum
cyst. I. E. bovis trophozoite. J. E. bovis cyst. K. E. ovis trophozoite.
L. E. ovis cyst. M. E. dilimani trophozoite. N. E. dilimani cyst.
O. E. suis, large trophozoite. P. E. suis, small trophozoite. Q. E. suis,
large cyst. R. E. snis, small cyst. X 1700. (From Hoare, 1959, in Veter-
inary Reviews and Annotations)
138
THE AMOEBAE
one of these, a liver abscess was also
present. Darling (1915) reported a fatal
infection in a dog in Panama. Ware (1916)
reported an outbreak in a pack of foxhounds
in the Nilgiri Hills of India, Boyd (1931)
reported an outbreak in another pack of
hounds in India, and more recently Gana-
pathy and Alwar (1957) reported 2 cases of
amoebic dysentery in dogs in India.
Fischer (1918) reported a case of amoebic
dysentery in a dog in China, Bauche and
Motais (1920) reported one in Indochina,
and Morcos (1936) found 5 cases in Egypt.
In the United States, Faust (1930) found 2
dogs in New Orleans with amoebic dysen-
tery, Andrews (1932) found £. histolytica
in the feces of a diarrheic dog in Baltimore,
and Thorson, Seibold and Bailey (1956) re-
ported a case of systemic amoebosis in a
puppy which also had distemper. E. his-
tolytica was found in large numbers in the
lungs and amoebae were also seen in the
liver, kidneys and spleen.
In surveys of presumably normal dogs,
Kubo (1936) found E. histolytica in 8% of
85 street dogs in Mukden, China, while
Yamane (1938) found it in 3% of 60 street
dogs from the same city. Chary et al.
(1954) stated that amoebic dysentery occurs
frequently in dogs in Indochina. Eyles
et al. (1954) found E. histolytica in 8. 4%
of 143 dogs in the Memphis, Tennessee dog
pound. The protozoa were so scarce that
cultural methods were required to reveal
them. This finding suggests that amoebic
dysentery may be more common in dogs
than is generally believed.
Natural E. histolytica infections are
apparently rare in cats, but Kessel (1928)
found the protozoon in 3 of 150 kittens in
China.
E. histolytica is rare in swine. Frye
and Meleney (1932) found it in 1 of 127
pigs which they examined in Tennessee;
this animal came from a farm where an
infected woman lived.
There are 2 reports of what may have
been E. histolytica in cattle. Walkiers
(1930) saw it in the feces of dysenteric
cattle in the Belgian Congo. Thiery and
Morel (1956) found it in the lungs of a
young zebu in Dakar which was slaughtered
on account of generalized streptothricosis.
Natural infections in rats have been
reported by a number of workers. Chiang
(1925) found E. histolytica in 7 laboratory
rats. Brug (1919) found it in 2 of 50 wild
rats in Batavia, Nagahana (1934) found it
in 3 of 274 wild rats in Mukden, China,
and Epshtein and Avakian (1937) found it in
7 of 515 wild Rattiis norvegicus in Moscow.
In the United States, Lynch (1915) saw it in
a wild rat, Tsuchiya and Rector (1936)
found it in 2 of 100 wild rats in St. Louis,
and Andrews and White (1936) found it in
28 (1.1%) of 2515 wild rats in Baltimore.
Morphology : The trophozoites of the
large, pathogenic race of E. histolytica
are 20 to 30 ji and those of the small race
are 12 to 15 ji in diameter. They have a
thick, clear layer of ectoplasm and gran-
ular endoplasm. They move rapidly when
warm, usually moving forward in a straight
line with a single clear pseudopod at the
anterior end. When the feces have cooled,
the amoebae stay in one place and throw
out large, clear pseudopods from various
parts of their body. The trophozoites often
ingest erythrocytes, a feature which differ-
entiates them from those of other amoebae.
The nucleus is indistinct in living amoebae.
When stained with hematoxylin, it has a
small, central endosome, a ring of small
peripheral granules and a few scattered
chromatin granules in between. The cysts
of both the large and small races are 10 to
20jLt (average, 12 /i ) in diameter. They
have 4 nuclei when mature and often con-
tain rod-like chromatoid bodies with rounded
ends. Diffuse glycogen is present in the
young cysts.
Life cycle : E. histolytica multiplies
in the trophozoite stage by binary fission.
It has 6 chromosomes. Before encysting,
the amoebae round up, became smaller
and eliminate their food vacuoles. They
lay down a cyst wall, and the nucleus
divides into 2 and then into 4 small nuclei.
After the 4-nucleate amoebae emerge from
the cyst, both the nuclei and cytoplasm
divide so that 8 small amoebulae result.
Each then grows into a normal tropho-
zoite.
THE AMOEBAE
139
Pathogenesis : As mentioned above,
only the large forms of E. histolytica are
generally considered pathogenic, altho
there are reports of mild disease and
slight lesions associated with the small
form (Shaffer et al.^ 1958). They may
cause diarrhea or dysentery, and may
invade the wall of the cecum and colon,
forming ragged, undermining or flask-
shaped ulcers which may be pinpoint in
size or may become large and confluent.
The amoebae invade the mucosa at first
and multiply to form small colonies. These
colonies then extend into the submucosa and
even into the muscularis. In the absence of
bacterial invasion, there is little tissue re-
action, but in complicated infections there
is hyperemia, inflammation and infiltra-
tion with neutrophiles.
Some of the amoebae may pass into
the lymphatics or even the mesenteric
venules. Those entering the hepatic portal
system pass to the liver, where they may
cause abscesses. Those which enter the
lymph ducts are generally filtered out by
the lymph nodes. Abscesses may be
formed in various other organs, including
the lungs, brain, etc. , depending on the
host's resistance.
The relation of parasite strain to
pathogenicity has already been mentioned.
The species of concomitant bacteria pres-
ent may also affect the amoeba's pathoge-
nicity, as may the nutritional status of the
host and other environmental factors.
Dysentery is much more common in the
tropics than in the temperate zone.
In most cases, E. histolytica causes
minor symptoms or none at all. Infections
may last 40 years or even more. There
may be recurring mild to severe gastro-
intestinal symptoms, including intermit-
tent diarrhea, bowel irregularity, abdom-
inal pain, nausea and flatulence. Some-
times affected persons tire easily, have
headaches or feel nervous. Appendicitis
or symptoms resembling it may occur.
These symptoms generally clear up after
treatment.
In acute amoebic dysentery, the feces
consist almost entirely of blood and mucus
filled with amoebae and blood cells. The
patient is wracked by waves of severe
abdominal pain and spends a large part of
his time on the stool, straining and passing
blood and mucus every few minutes. In
contrast to bacillary dysentery, there is no
fever in uncomplicated cases.
Epidemiology : As mentioned above,
E. histolytica is primarily a parasite of
primates, and man is the reservoir of in-
fection for his domestic animals. This is
one of the few zoonoses which man gives
to his associated animals in return for the
many which he receives from them.
Infection is due to ingestion of cysts.
Since trophozoites alone are passed by
dysenteric individuals, these are not im-
portant sources of infection, while cyst-
producing chronic cases and carriers are.
The cysts are relatively resistant.
They are not affected by water chlorina-
tion, but can be removed by sand filtration.
They survive for at least 8 days in soil at
28 to 34° C (Beaver and Deschamps, 1949),
but live only an hour at 46 to 47° C and
less than a minute at 52° C (Jones and
Newton, 1950). They survive longest at
refrigerator temperatures (40 days at 2 to
6° C according to Simitch, Petrovitch and
Chibalitch, 1954; 62. 5 days at 0° C accord-
ing to Chang, 1955). They will not excyst
after 24 hours at temperatures of -15° C
or lower (Halpern and Dolkart, 1954), and
die in 7. 5 hours or less in the deep freezer
at -28° C (Chang, 1955).
The cysts are usually transmitted with
food or water. Raw vegetables may be a
source of infection. Flies may transmit
the cysts also. Pipkin (1949) was able to
cultivate cysts from the vomitus of filth
flies {Musca domestica, Lucilia pallescens,
Cochliomyia macellaria, Phormia regina
and Sarcophaga ttiisera) 39 to 64 minutes
after ingestion and from their feces 172 to
254 minutes after ingestion.
Faulty plumbing and water systems
may cause water-borne transmission. The
most striking case of this kind occurred
during the Chicago World Fair in 1933.
An outbreak of amoebic dysentery occurred
140
THE AMOEBAE
among guests at two neighboring hotels
from which over 1000 cases with 58 deaths
were tracked down in 44 states and 3 Ca-
nadian provinces (Bundesen el al. , 1936).
Cross connections between the water and
sewage pipes, back siphonage from toilet
bowls into the water supply and leakage
from an overhead sewage pipe in the
kitchen were involved.
Food handlers may play an important
role in transmission of amoebae, even tho
the cysts rarely survive more than 10
minutes on the hands, except under the
fingernails (Spector and Buky, 1934).
Thus, Schoenleber (1940, 1941) reported
that in a group of Americans living in a
Standard Oil Co. camp in Venezuela, the
prevalence of amoebic infection was re-
duced in 3 years from 25. 6% to 1. 9% and
the amoebic dysentery rate from 36.84 to
0.61 per 1000 per year by inspection and
treatment of food handlers. Winfield and
Chin (1939), in a comparison of the prev-
alence of amoebic infection with food hab-
its in different parts of China, concluded
that transmission by food handlers is
probably more important than by other
means in that country. E. histolytica is
much commoner in North China than in
South and Central China. This is corre-
lated with the serving and eating of cold
bread with the hands in North China as
contrasted to the handling of hot rice with
a serving spoon and chopsticks in South
and Central China. On the other hand,
Sapero and Johnson (1939, 1939a) found no
evidence that carriers were important in
the transmission of amoebae in a study of
919 persons in the U.S. Navy. The sani-
tary habits of American sailors probably
had something to do with this.
Diagnosis : The laboratory diagnosis
of amoebiasis has been discussed in detail
by Brooke (1958). Live amoebae can be
found in wet smears made with physiolog-
ical salt solution. These smears may be
stained with Lugol's iodine solution diluted
1:5 to bring out the nuclei of the cysts and
stain glycogen. However, for accurate
identification and differentiation from
other species of amoebae, staining with
hematoxylin is essential. The smears are
generally fixed in Schaudinn's fluid and
stained with Heidenhain's iron hematoxylin.
Sapero and Lawless's (1953) MIF (merthio-
late -iodine -formaldehyde) stain -preserva-
tion technic can also be used.
For concentration of cysts, flotation
in zinc sulfate solution (Faust et al. , 1938)
can be used. The cysts are distorted be-
yond recognition, however, by the other
salt and sugar solutions in common use
for flotation of helminth eggs. For con-
centration by sedimentation, the FTE
(formalin- triton-ether) sedimentation
technic (Ritchie, Pan and Hunter, 1952,
1953) or MIFC (merthiolate- iodine-formal-
dehyde-concentration) technic (Blagg el al. ,
1955) can be used.
Cultivation can be helpful in diagnosis
of amoebiasis, but only if fresh specimens
are used and if the laboratory personnel
are expert. Cultivation is not recommended
for general use.
E. histolytica cannot be differentiated
morphologically from E. haybiuDiiii, and
its differentiation from other intestinal
amoebae, and especially from E. coli, is
not an easy task. There is a surprising
amount of discrepancy even among those
who should be qualified. Thus, in an eval-
uation by the USPHS Communicable Dis-
ease Center of the diagnostic ability of 42
state health department laboratories
(Brooke and Hogan, 1952), an average of
4. 1 out of 18 £. histolytica infections was
missed among 98 stool samples sent to the
laboratories for examination, and an aver-
age of 4.4 false positive reports was made
among the 80 negative samples. Further-
more, in an analysis of responses by mem-
bers of the American Society of Tropical
Medicine to a questionnaire on the clinical
and laboratory diagnosis of amoebiasis,
Brooke et al. (1953) found a surprising
lack of agreement in statements concerned
with the identification of E. histolytica
cysts and trophozoites.
Goldman (1959, 1960) was able to dif-
ferentiate between Entamoeba histolytica,
E. liart>}ianni, E. nioshkovskii and E. coli
by a fluorescence antibody technic. Three
originally invasive strains of E. histolytica
which he studied differed significantly
from a non-invasive strain.
THE AMOEBAE
141
Cultivation : E. histolytica was first
cultivated by Boeck and Drbohlav (1925).
Their medium was composed essentially
of a coagulated egg slant overlaid with
Locke's solution containing serum. Var-
ious modifications of this medium are
still in use. Cleveland and Collier (1930)
used a liver infusion agar slant overlaid
with serum and physiological salt solution.
Balamuth (1946) introduced an all-liquid
egg infusion-liver extract medium.
Treatment : Amoebiasis can be
treated with a number of drugs (cf . Bala-
muth and Thompson, 1955). The old stand-
ard drug, emetine, is not used as much as
formerly because of its toxicity. Other
drugs from which one can choose include
(1) the arsanilic acid derivatives, carbar-
sone, glycobiarsol (bismuth glycoarsani-
late, Milibis) and thiocarbarsone; (2) the
iodoquinoline derivatives, diodohydroxy-
quin (Diodoquin), chiniofon (Yatren) and
iodochlorhydroxyquin (Vioform); (3) the
antimalarial drug, chloroquine; and
(4) the antibiotics, erythromycin, fuma-
gillin, tetracycline, chlortetracycline and
oxytetracycline.
The particular drug selected depends
in part on the type of amoebic infection
involved. For acute or subacute dysen-
tery, erythromycin, oxytetracycline or
chlortetracycline may be used. Erythro-
mycin is administered to man by mouth at
the rate of 15 mg/kg daily in divided doses
for 14 days. The usual human course of
treatment with oxytetracycline or chlor-
tetracycline is 0. 5 g 4 times a day by
mouth for 10 days.
For chronic cases or to eradicate in-
testinal infections, one of the arsanilic
acid or iodoquinoline derivatives may be
used. The usual adult human course of
treatment with carbarsone is 0. 25 g 2 or
3 times a day by mouth for 10 days. That
with glycobiarsol is 0. 5 g 3 times a day by
mouth for 8 days. That with chiniofon is
1. g 3 times a day by mouth for 7 days.
That with diodohydroxyquin is 0. 65 g 3
times a day by mouth for 20 days.
For amoebic hepatitis or liver ab-
scesses, chloroquine is used. A loading
dose of 1 g chloi'oquine phosphate (0.6 g
base) by mouth on each of 2 successive
days followed by 0. 5 g daily for 2 to 3
weeks is the recommended adult human
course of treatment.
Diodohydroxyquin has also been rec-
ommended as a prophylactic drug for use
by travellers in ai-eas of high endemicity.
While relatively little work has been
done on the treatment of amoebiasis in
domestic animals, the same drugs are in
general effective in them. Benson, Frem-
ming and Young (1955) found that for chim-
panzees the most successful drugs were
carbarsone (0.25 g twice daily for 10
days) and fumagillin (20 to 30 mg twice
daily for 10 days) administered in fruit or
fruit juice. They also frequently gave a
course of emetine hydrochloride (1 mg/kg
body weight up to a maximum of 60 mg,
injected intramuscularly daily for a max-
imum of 6 days) prior to carbarsone or
fumagillin therapy (see also Fremming
et al. , 1955). Herman and Schroeder
(1939) successfully treated amoebic diar-
rhea in a 21 -lb. orang-utan with carbar-
sone. They gave 2 courses of treatment
11 days apart, each course consisting of
0. 05 g carbarsone in milk or a slice of
banana 3 times a day for a week.
Prevention and Control : Infection
with amoebae can be prevented by sanita-
tion. Water supply systems should be
built without cross connections to sewage
systems. Water which may be polluted
should be boiled or filtered thru sand,
since ordinary chlorination does not kill
the cysts. Food handlers should wash
their hands thoroughly after using the toi-
let. Vegetables grown on polluted ground
should be cooked, or, if they are to be
eaten raw, should be scalded or soaked in
vinegar containing 5% acetic acid for 15
minutes at 30° C or in vinegar containing
2. 5% acetic acid for 5 minutes at 45° C
(Beaver and Deschamps, 1949). Diodohy-
droxyquin may also be used prophylactically.
142
THE AMOEBAE
ENTAMOEBA HARTMANNI
VON PROWAZEK, 1912
As mentioned above, E. kartmanni
closely resembles the small race of E.
histolytica. It can be differentiated by
careful examination of hematoxylin-stained
preparations. Burrows (1959) compared
the two species. Most trophozoites of E.
hartmanni are smaller than those of E.
histolytica. Rounded trophozoites of E.
hartmanni range from 3 to 10. Sjix in diam-
eter, while those of E. histolytica are
6. 5|i or more in diameter. The tropho-
zoite nucleus of E. hartmanni is usually
2. to 2. 5 fi in diameter but may range
from 1. 5 to 3. 2^ , while that of E. his-
tolytica is usually 3.0 to 3. 5fj, in diameter
but may range from 2.8 to 3. 8/i . The
peripheral chromatin of E. hartmanni is
more variable in its arrangement than
that of E. histolytica and may consist of
discrete granules with wide spaces be-
tween them, a crescent of granules on one
side of the nucleus, or a single large bar
of chromatin with several small granules
around the membrane; the peripheral
chromatin of E. histolytica is generally
distributed uniformly along the nuclear
membrane.
Most cysts of E. Itartmanni are
smaller than those of E. histolytica. They
range from 3. 8 to 8. Ofi in diameter while
those of small race E. histolytica are
5. 5(1 or more in diameter. The cyst nu-
clei of E. hartmanni are 1. 8 to 3. Ojj, in
diameter in uninucleate cysts, 1. 3 to 2.0 )i
in binucleate cysts and 0. 7 to 1. 7 /i in
tetranucleate cysts; those of small race
E. histolytica are 2.4 to 2.8 ji in diameter
in uninucleate cysts, 2. to 2. 8/j, in binu-
cleate cysts and 1.4 to 2.2 /i in tetranu-
cleate cysts. The cysts of E. liartmanni
seldom contain large glycogen bodies, but
nearly all of them have a few to many
small vacuoles; the cysts of E. histolytica
generally have one large glycogen vacuole
or no vacuoles. The chromatoid bodies of
the two species are similar.
Freedman and Elsdon-Dew (1959)
suggested that, until an accurate, prac-
tical method of separation is devised,
mean sizes of 12/i for trophozoites and
10/i for cysts be used as the dividing line
between E. histolytica and E. liartmanni.
The latter criterion has been used for
some time to distinguish between the cysts
of large and small race E. histolytica by
those who do not accept the name E. liart-
manni (Shaffer et al. , 1958).
The incidence of E. liartmanni in an-
imals and man is unknown because in the
past it has ordinarily been lumped with
E. histolytica. According to Burrows
(1957, 1959) about half of the reported
cases of E. histolytica in the United States
were actually E. hartmanni. Further
studies in which the two species are sep-
arated will throw light on this point, which
is important because E. hartmanni is non-
pathogenic.
ENTAMOEBA MOSHKOVSKII
CHALAYA, 1941
This species occurs in sewage. It is
not a parasite of animals, but of the mu-
nicipal digestive tract. It was found in
the sewage disposal plant and sewer sys-
tem of Moscow by Chalaya (1941, 1947),
in sewage in Leningrad by Gnezdilov (1947),
in sewage in Brazil by Amaral and Azzi
Leal (1949), in sewage in London by Neal
(1950, 1953), and in sewage in Quebec by
Lachance (1959). Probably the same or-
ganism was found in sewage in California
by Wright, Cram and Nolan (1942), altho
they did not name it. Chalaya (1947) cul-
tivated it from the water of 2 ponds and a
river in Russia. Altho E. moshkovskii
is not parasitic, the possibility of its ac-
cidental presence in fecal samples is of
concern in diagnosis.
E. moshkovskii resembles E. histo-
lytica morphologically. The trophozoites
are active, 9 to 29fi (usually 11 to 13(j.)
in diameter. The nucleus has a small,
central endosome and a peripheral layer
of fine granules. The cysts are generally
spherical, 7 to 17 /i in diameter. They
contain a very large glycogen vacuole at
first which is eventually absorbed as the
cysts age. The chromatoid bodies are
large, rather elongate, and have rounded
ends. The mature cysts have 4 nuclei.
THE AMOEBA
143
The cysts remain viable at 4" C up to 10
months if they are not allowed to dry out.
E. nioshkovskii can be cultivated in
the usual Entamoeba media.. Its optimum
temperature is about 24° C and it grows
poorly at 37° C. The ability to grow at
room temperature differentiates this spe-
cies from E. histolytica.
Chalaya (1941) was unable to infect
kittens with E. moshkovskii, and Neal
(1953) could not infect rats, frog {Rana
temporaria ) tadpoles or salamander
{Salamandra maculosa) larvae by feeding.
ENTAMOEBA EQUI
FANTHAM, 1921
Fantham (1921) found this amoeba in
the feces of 2 horses with signs of intes-
tinal disturbance in South Africa. It is
unusually large, fully extended tropho-
zoites measuring 40 to 50 by 23 to 29)Lt
and rounded ones 28 to 35 /i in diameter.
The nucleus is of the histolytica type, but
is oval rather than round. Erythrocytes
are ingested. The cysts are 15 to 24 ju. in
diameter and contain 4 nuclei and chroma-
toid bars.
ENTAMOEBA ANATIS
FANTHAM, 1924
Fantham (1924) found this amoeba in
the feces of a duck which had died of acute
enteritis in South Africa. It resembles
E. histolytica morphologically, and its
trophozoites ingest erythrocytes. The
cysts are spherical or subspherical, thin-
walled, 13 to 14 n in diameter, and con-
tain 1 to 4 nuclei and thin, needle-like
chromatoid bodies.
ENTAMOEBA CO LI
(GRASSI, 1879)
CASAGRANDI AND
BARBAGALLO, 1895
Synonyms : Am,oeba coli, Endamoeba
hominis. Council-mania lafleuri.
This is the commonest species of
amoeba in man. According to Belding
(1952), it was found in 28% in 19 surveys
of 17,733 persons thruout the world and
occurs in about 30% of the population of
the United States. It also occurs in the
gorilla, orangutan, chimpanzee, gibbon
and in various species of macaques and
other monkeys (Mackinnon and Dibb,
1938). Smith (1910) saw an amoeba sim-
ilar to E. coli in pigs, and Kessel (1928a)
found it in a Chinese pig. Kessel (1928a)
also infected pigs experimentally with E.
coli cysts from man, but the infections
lasted less than 6 weeks.
Entamoeba coli occurs in the cecum
and colon. It can be cultivated on the
usual media. It is non- pathogenic, and
therefore must be differentiated from E.
histolytica.
Its trophozoites are 15 to 50 /i (usually
20 to 30 jn) in diameter. The cytoplasm is
filled with bacteria and debris, and the
ectoplasm is thin. The organism moves
sluggishly. The nucleus has an eccentric
endosome larger than that of E. histo-
lytica, and a row of relatively coarse
chromatin granules around its periphery.
There may also be a few scattered chrom-
atin granules between the endosome and
the nuclear membrane. The cysts are 10
to 33 ju in diameter and have 8 nuclei when
mature. The cysts contain slender, splin-
ter-like chromatoid bodies with sharp,
fractured or square ends; these disappear
as the cysts age. The young cysts also
may contain a large, well-defined glycogen
globule; it usually disappears before the
cyst is mature.
ENTAMOEBA WENYONI
GALLI-VALERIO, 1935
Wenyon (1926) reported that he had
seen 8-nucleate amoeba cysts of the E.
coli type in the feces of goats. Galli-
Valerio (1935) described this form, naming
it Entamoeba wenyoni. The few tropho-
zoites which he saw measured 12 by 9j^i,
their protoplasm was fairly granular with
no distinction between ectoplasm and endo-
plasm, and they contained numerous bac-
teria. They moved very slowly with short,
rounded pseudopods. The cysts were spher-
ical, 6 to 9(i in diameter, and contained 8
nuclei.
144
THE AMOEBAE
ENTAMOEBA MURIS
(GRASSI, 1879)
Synonyms : Amoeba miiris. Council-
mania muris, Councilmania decumani.
E. muris occurs commonly in the
cecum and colon of rats, mice and the
golden hamster thruout the world. An-
drews and White (1936) found it in 10.4% of
2515 wild rats in Baltimore. Fry and Mel-
eney (1932) found it in 48% of 48 wild Rattus
norvegicus and 24. 1% of 54 grey mice cap-
tured in a rural area of Tennessee. Tsuchiya
and Rector (1936) found it in 8% of 100 rats
in St. Louis. Elton, Ford and Baker (1931)
reported it in 50% of 440 long-tailed field
mice (Apodemus sylvaticus), 4l"/o oi 116 bank
voles {Clelhrionomys glareolus) and 41%
of 51 short-tailed field mice {Microtus
hirtus) in England. Wantland (1955) found
it in 33% of 412 golden hamsters from sev-
eral American suppliers and laboratories.
Mudrow-Reichenow (1956) found E. luuris
in 7% of 14 golden hamsters, 35% of 21
laboratory rats and 39% of 92 laboratory
mice in Germany.
Kessel (1924) transmitted E. muris
from the rat to the mouse and vice versa.
Neal (1947, 1950a) and Saxe (1954) infected
rats with E. uiuris from the golden ham-
ster and mouse. Saxe (1954) infected the
golden hamster with E. muris from the rat.
E. muris is morphologically similar
to E. coli. Its trophozoites are 8 to 30 /i
long. Its cysts are 9 to 20jj, in diameter
and have 8 nuclei when mature. Its nu-
clear structure and division were studied
by Wenrich (1940). He found that the nu-
cleus is intermediate in structure between
those of E. kislolylica and E. culi but
more nearly resembles the latter. It var-
ies in diameter from 3 to 9fi with a mean
of 4 to 5 |i. In division, approximately 8
chromosomes are formed. Binucleate
cysts almost always contain a large gly-
cogen vacuole, and mononucleate cysts
very frequently do.
E. muris is non- pathogenic. It is
important to the research worker because
it must be differentiated from other amoe-
bae introduced in experimental infections.
ENTAMOEBA CAVIAE
CHATTON, 1918
This species is often referred to as
Entamoeba cobayae (Walker , 1908) Chatton,
1917. However, the form which Walker
(1908) called Amoeba cobayae -wcls seen in
cultures from a guinea pig intestine and
was not an Enta»ioeba at all. Hoare (1959)
considered this species a synonym of E.
muris.
E. caviae is common in the ceca of
laboratory guinea pigs. Nie (1950) found
it in 14% of 84 guinea pigs in Pennsylvania
and Mudrow-Reichenow (1956) found it in
46% of 13 guinea pigs in Germany.
E. caviae resembles E. culi. Its
morphology has been studied by Nie (1950).
The trophozoites are 10 to 20 )i in diam-
eter with a mean of 14.4jj,. The nucleus
is 3 to 5 (i in diameter. Its endosome var-
ies in size and shape and may be central
or eccentric. In some cases it is com-
posed of several granules. There is a
ring of coarse chromatin granules inside
the nuclear membrane. The cysts are 11
to 17 |i in diameter with a mean of 14^
and have 8 nuclei (Holmes, 1923). They
are rare.
E. caviae is non- pathogenic. Because
it is so common, it must be differentiated
from other amoebae in experimentally in-
fected animals.
ENTAMOEBA CUNICULI
BRUG, 1918
This species occurs in the cecum and
colon of the domestic rabbit. It is not
pathogenic. It resembles^, coli, and
Kheisin (1938) has even suggested the name
Entamoeba coli forma cnniculi for it.
Hoare (1959) considered it a synonym of
E. muris. It is apparently quite common
in rabbits, altho there seem to be relatively
few reports on it. Kheisin (1938) found it
in 25% of the rabbits he examined in Russia.
The trophozoites range from 12 to 30 ji in
length with means of 13 to 17 fi in different
rabbits. The cysts have 8 nuclei. They
THE AMOEBAE
145
range in diameter from 7 to 21 ji with
means of 10 to 15ju in different rabbits.
ENTAMOEBA GALLINARUM
TYZZER, 1920
This non-pathogenic species was des-
cribed from the ceca of the chicken and
turkey by Tyzzer (1920). By cecal inocu-
lation of parasite-free baby chicks,
Richardson (1934) found what appeared to
be the same species in the ceca of the
domestic duck, turkey and goose. E.
galliiiaruni is common. McDowell (1953)
found it in about 30% of a large number of
chickens he examined in Pennsylvania.
E. gallinarmu closely resembles E.
coli. The trophozoites are 9 to 25jj, in
diameter, most measuring 16 to 18|i.
The endoplasm is highly vacuolated and
contains many food vacuoles. Altho
Tyzzer (1920) said that E. galliiiaruni
did not ingest bacteria, McDowell (1953)
found that bacteria were its main food,
altho it also ingested Trichouionas among
other foods. The ectoplasm is clear or
granular. The nucleus is 3 to 5 ji in di-
ameter, with an eccentric endosome and
a row of granules around the outside.
The mature cysts are 12 to 15/i in diam-
eter and contain 8 nuclei.
found it in the feces of 4 gnus ( Conno-
chaetes taurinus) in the London zoo. It
has been described most recently by Noble
(1950) and Noble and Noble (1952). The
trophozoites are 5 to 20jj. in diameter.
The cytoplasm is smoothly granular and
filled with vacuoles of various sizes. The
nucleus is large, with a large, central
endosome made up of compact granules
and a conspicuous row of chromatin gran-
ules of different sizes around its periphery.
The cysts are 4 to 14 p. in diameter and
contain a single nucleus when mature.
Their chromatoid bodies are irregular
clumps of varying size and rods, splinters
or granules. A large glycogen vacuole
may or may not be present.
Noble and Noble (1952) found that the
uninucleate entamoebae from the feces of
cattle, goats, sheep and swine were mor-
phologically indistinguishable. However,
since their physiological characteristics
have not been studied and cross infections
have not been attempted, they considered
it best not to assign them all to the same
species. If future work should show that
they are all the same, their correct name
would be E. bovis.
ENTAMOEBA OVIS
SWELLENGREBEL, 1914
Richardson (1934) transferred infec-
tion from chick to chick by association in
the same cage. She found that the mini-
mum oral infective dose of E. gallinarum
for the chick was 240 cysts, and observed
that the cysts remained viable in raw
feces for 10 days and in feces diluted with
water for at least 28 days.
ENTAMOEBA BOVIS
(LIEBETANZ, 1905)
Synonym : Amoeba bovis.
This non- pathogenic species occurs
commonly in the rumen and feces of cattle
thruout the world. Noble and Noble (1952)
found it in the feces of all of 34 cattle
from California, Pennsylvania, Korea
and Japan. Mackinnon and Dibb (1938)
Synonym: Entamoeba debliecki, pro
parte".
This non- pathogenic species was first
described from the intestines of sheep in
Sumatra, but it is common thruout the
world. Noble and Noble (1952) found it in
the feces of all of 25 sheep from California
and Washington. Triffitt (1926) reported
it from the feces of the sable antelope
{Hippotragiis niger) and common water-
buck ( Cobus ellipsiprymus) in Africa.
By a historical accident, the name of
the pig entamoeba rather than that of the
sheep entamoeba has been used for the
entamoeba of the goat. Nieschulz (1923)
gave the first description of E. debliecki
(a synonym of E. snis) from the pig and
soon after (1923a) found what appeared to
be the same species in the large intestine
146
THE AMOEBAE
of the goat in Holland. Hoare (1940) found
it in the feces of 10 out of 14 goats in
England and redescribed it under the name
E. deblieclii. Noble and Noble (1952)
found it in the feces of 27 out of 28 goats
in the United States and called it E. fiolecki
(the name they used for the pig entamoeba).
However, they considered the uninucleate
entamoebae of cattle, goats, pigs and
sheep to be morphologically indistinguish-
able. Since goats share a great many
parasites with sheep but relatively few
with swine, and in the absence of cross-
infection experiments to the contrary, the
best name for the goat entamoeba is E.
ovis .
The trophozoites of E. ovis measure
11 to 12 by 13 to 14 ji. The nucleus typ-
ically contains a large, pale endosome
generally composed of several granules,
a ring of peripheral chromatin, and num-
erous small granules between the endo-
some and the nuclear membrane. In
some cases there is very little peripheral
chromatin and in others the endosome
may be very small. The cysts are 4 to
13|Lx in diameter with a mean of 7|j. and
contain a single nucleus when mature.
They usually contain numerous chromatoid
bodies of varying size, shape and abun-
dance and a glycogen vacuole.
The cysts of the form from the goat
are 4 to 13fi in diameter. Hoare (1940)
found 2 races which differed in size. The
cysts of one ranged from 5 to 9|j in diam-
eter with a mode of 6. 7 p. , while the cysts
of the other ranged from 9 to 13^ with a
mode of 10.4fi Noble and Noble (1952),
however, found only a single race with
cysts ranging in diameter from 4 to 12/:i
with a mean of 6. 4 /i .
It is quite likely that E. ovis is a
synonym of E. hovis, but until cross in-
fection experiments have been carried
out, it is thought best to retain it as a
separate species.
ENTAMOEBA DILIMANI
NOBLE, 1954
Noble (1954) found this species in the
feces of all of 12 goats he examined on
Luzon in the Philippines. He saw only 2
trophozoites. They were 12/1 across, had
broad, rounded pseudopods whose ends
had fairly clear ectoplasm, and food vac-
uoles containing bacteria. The cysts are
5 to 16/i in diameter with a mean of 9. 7/i ,
and contain a single nucleus. The endo-
some is usually a small, central dot but
may be eccentric. Peripheral chromatin
is often absent or may appear as a few
large, irregular granules. The entire
nucleus is filled with fine granules which
may form a ring around the endosome.
The cyst contains 1 or more large glycogen
vacuoles and from one to a large number of
chromatoid bodies varying in shape from
small, irregular masses to a single, large,
sausage-shaped body. Noble considered
this species to differ from the Entamoeba
in American goats in that the peripheral
chromatin rarely forms a heavy ring, the
endosome is usually a single, small dot,
and a periendosomal ring of chromatin is
usually present.
ENTAMOEBA SUIS
HARTMANN, 1913
Synonym : Entamoeba debliecki, pro
parte.
A number of authors have used the
name. Entamoeba polecki Prowazek,
1912, for this species, but this name must
be considered a nomen nudum because
Prowazek' s description was so poor as to
be unrecognizable (see Hoare, 1940, 1959).
E. siiis occurs in the cecum and colon
of swine. Chang (1938) found it in 71% of
209 pigs in China. Pavloff (1935) found it
in 26 of 1840 pigs in France and Bulgaria.
Simitch et al. (1959) found it in 8% of 1800
pigs in Yugoslavia. Frye and Meleney
(1932) found it in 63% of 80 pigs, Alicata
(1932) found it in 43% of 35 pigs, and Noble
and Noble (1952) found it in all of 30 pigs
in the United States. Mackinnon and Dibb
(1938) found it in the European wild boar
{Stis scrofa), giant forest hog (Hylochoerus
meinertzliageni) and Indian boar (Sus
cristatiis) in a London zoo. Kessel and
Johnstone (1949) and Kessel and Kaplan
(1949) reported "E. polecki" from the
rhesus monkey but remarked that it
THE AMOEBAE
147
appeared identical with E. chattoni of
monkeys; this is the species to which their
form should be assigned. Ten human in-
fections have been reported (Kessel and
Johnstone, 1949; Lawless, 1954; Burrows
and Klink, 1955). However, altho no
human cross-infection experiments have
been attempted, E. suis does not seem to
be readily transmissible to man. Chang
(1939) observed that it was not present in
27 Chinese butchers, altho their methods of
slaughtering provided ample opportunity for
infection. Pavloff (1935) was unable to in-
fect kittens with it by intrarectal inoculation.
E. suis has been described by a num-
ber of authors, including Noble and Noble
(1952) in domestic animals, and by Bur-
rows (1959) in man. The following des-
cription is based on Noble and Noble.
The trophozoites are 5 to 25fi long. Some
authors (e. g. , Hoare, 1959; Simitch et al.
1959) have considered the small forms to
be a separate species, E. debliecki, but
such a separation does not appear to be
justified.
The nucleus varies in appearance.
The endosome is central and is usually
quite large. It may sometimes almost fill
the nucleus, but it may also sometimes be
small and similar to that of E. histolytica.
There is a rather homogeneous ring of
peripheral chromatin within the nuclear
membrane. There are ordinarily no
chromatin granules between the endosome
and the peripheral ring. The cytoplasm
is granular and vacuolated, and contains
bacteria in its food vacuoles. The cysts
are 4 to 17 ju in diameter and have a
single nucleus when mature. The chroma-
toid bodies in the cysts vary markedly in
shape from stout rods with rounded ends
similar to those of E. histolytica to irreg-
ular granules of varying size. There may
or may not be a glycogen vacuole. Cysts
without chromatoid bodies or glycogen
vacuoles are also common.
(1934) observed amoebae associated with
necrosis in sections of the colon of pigs
which had died of experimental hog chol-
era. However, altho E. suis is very
common in swine, it has never been found
in sections of intestinal lesions of hundreds
of swine examined by University of Illinois
pathologists.
E. suis can be cultivated in the usual
media. It is apparently less sensitive
than E. histolytica to amoebicidal drugs,
but Frye and Meleney (1932) eliminated it
from pigs by feeding 50 mg/kg carbarsone
in the milk daily for 10 days.
ENTAMOEBA BUBALUS
NOBLE, 1955
Noble (1955) found this species in the
feces of 12 of 15 carabao (Bubalus bubalis)
from several islands in the Philippines.
Only 2 trophozoites were seen. They
averaged 12 /ii in diameter. The cysts are
5 to 9 fi in diameter with a mean of 8 jll .
They contain 1 or more vacuoles, but
usually a single large one which crowds
the cyst contents to its periphery. The
chromatoid bodies are usually small and
irregular in shape but may occasionally
be large, with rounded ends, similar to
those of E. histolytica. The cysts contain
a single nucleus 2. 6ju in diameter with a
large endosome 1.4jj. in diameter which
often appears to be a cluster of 4 granules.
There is usually a distinct peripheral ring
of chromatin, but the amount of peripheral
chromatin may vary from practically none
to a ring of dots to a few isolated clumps.
There is no periendosomal chromatin.
Noble (1955) considered E. bubalus to
differ from other entamoebae with uninu-
cleate cysts in the character of its nucleus--
the heavy, usually uniform outer ring of
chromatin and the large, prominent endo-
some.
E. suis is probably non- pathogenic.
Smith (1910) found amoebae in sections of
intestinal ulcers in swine. Hartmann
(1913), who studied Smith's preparations,
named the amoeba E. suis. Ratcliffe
ENTAMOEBA CHATTONI
SWELLENGREBEL, 1914
parte.
Synonym : Entamoeba polecki, pro
148
THE AMOEBAE
This species occurs in the large in-
testine of macaques and a number of other
monkeys. It was first seen by Chatton
(1912), who called it Loeschia sp. , and
was given its present name by Swellengre-
bel (1914), who found it in the rhesus
monkey. This name was thought to be one
of the many synonyms of E. histolytica
until Salis (1941) showed that it was not.
Kessel and Johnstone (1949) found E.
chattoni and E. polecki to be morphologi-
cally similar, and used the older name,
E. polecki, for the species. However,
in the absence of cross-infection exper-
iments between pigs and monkeys, it is
best to retain the name, E. cliattoni, for
the monkey form. In any case, E. polecki
is a nomen nudum and should be replaced
by E. suis. The proper name for the
forms in the 10 human cases which have
been reported (see Burrows and Klink,
1955) is uncertain. Perhaps it should de-
pend in each case on the source of infec-
tion, whether pig or monkey, or perhaps
both these names will eventually be
dropped in favor of E. bovis. However,
for the present E. chattoni is preferable.
E. chattoni is probably much more
common in monkeys than E. histolytica,
from which it must be distinguished.
Mudrow-Reichenow (1956) found it in 6 of
7 rhesus monkeys in Germany. The
trophozoites of E. cliattoni are 9 to 25 /i
long. The cysts are 6 to 18fi in diam-
eter. Salis described two size races
with cysts averaging 10. 9 and 13. 1 fj. ,
respectively but other workers have not
made this differentiation. The nucleus
varies a great deal in morphology. It
may be indistinguishable from that of E.
histolytica, with a small, central endo-
some and a row of fine, peripheral chro-
matin granules. On the other hand, the
endosome may be large or small, central
or eccentric, compact or diffuse, and
composed of one to many granules, while
the peripheral chromatin may be fine or
coarse, uniform, irregular or diffuse,
and there may or may not be chromatin
granules between the endosome and the
peripheral chromatin. The cysts are
almost always uninucleate when mature.
Less than 1% are binucleate, and they are
never tetranucleate. The chromatoid
bodies are usually irregular and small,
but may also be rod-shaped with round or
pointed ends, oval or round. A glycogen
vacuole may or may not be present.
E. cliattoni is generally considered
non- pathogenic, altho 2 of the human pa-
tients studied by Burrows and Klink (1955)
had diarrhea which may or may not have
been caused by the amoebae.
ENTAMOEBA GINGIVA LIS
(GROS, 1849)
BRUMPT, 1914
Synonyms : Amoeba gingivalis ,
Amoeba buccalis. Entamoeba buccalis.
Amoeba dentalis. Amoeba kartulisi, Enta-
moeba maxillaris. Entamoeba canibuc-
calis.
This species occurs commonly in the
human mouth, where it lives between the
teeth, in the gingival margins of the gums
and in the tartar. It has occasionally been
found in infected tonsils. E. gingivalis
is present in perhaps 50% of all humans,
but in up to 95% of those with pyorrhea.
It was once thought to be the cause of
pyorrhea, but is now known to be a harm-
less commensal which finds an ideal home
in diseased gums.
Hinshaw (1920) transmitted E. gingi-
valis to 5 dogs with gingivitis. In one of
them the infection was still present after
14 1/2 months, but in the others it died
out within 4 months. Kofoid, Hinshaw and
Johnstone (1929) established persistent in-
fections in 5 of 11 dogs with E. gingivalis
from cultures. They could not infect dogs
with healthy mouths, but only those with
gingivitis, pus pockets or loose gums.
Goodrich and Moseley (1916) found
amoebae indistinguishable from E. gingi-
valis in pyorrheic ulcers in the mouths of
2 dogs and a cat in England. N6ller(1922)
found it in dogs in Germany. Simitch
(1938) found a small amoeba in the saliva
of 3 out of 165 dogs in Serbia and named
it E. canibuccalis. The trophozoites
were 8 to IGja long but became as long as
2 5 /J in culture. Simitch infected 2 old
THE AMOEBAE
149
dogs with cultured protozoa but failed to
infect 3 young dogs, a young wolf and 2
humans. In view of the affection with
which some dog and cat owners treat their
pets, there is no reason to believe that the
entamoebae in the mouths of these animals
are a different species from that of man.
no cysts. Simitch (1938a) was unable to
infect horses with E. gingivalis (syn. ,
E. canibuccalis ) from the dog or to infect
dogs with the horse form. Hence he con-
sidered the latter to be a new species.
Further study is needed to learn whether
this view is correct.
Kirby (1928) found E. gingivalis in
the mouths of 2 chimpanzees with pyorrhea.
Kofoid, Hinshaw and Johnstone (1929)
found it in the mouths of Macaco mulatta
and M. iriis. Deschiens and Gourvil (1930)
found it in the M. ))ii(latta and Papio
sphynx. Hegner and Chu (1930) found it in
the mouths of 37 out of 44 wild M. philip-
pinensis.
E. gingivalis has no cysts. The tro-
phozoites are usually 10 to 20j:i long, but
may range from 5 to 35/^. The cytoplasm
consists of a zone of clear ectoplasm and
granular endoplasm containing food vac-
uoles. The amoebae usually feed on leuco-
cytes, epithelial cells, sometimes on bac-
teria and rarely on red blood cells. There
are usually a number of pseudopods. The
nucleus is 2 to 4 |U in diameter, with a
moderately small endosome, a peripheral
layer of chromatin granules and some del-
icate achromatic strands extending from
the endosome to the nuclear membrane.
Reproduction is by binary fission. It
was described in detail by Child (1926),
Stabler (1940) and Noble (1947). Child
said that 6 chromosomes are present, but
Stabler and Noble found only 5.
ENTAMOEBA EQUIBUCCALIS
SIMITCH, 1938
Synonym : Entamoeba gingivalis va.r .
eqiii.
Nieschulz (1924) found this amoeba in
the mouths of several horses in Holland,
and Simitch (1938a) cultured it from the
mouths of 16 out of 22 mares and 3 out of
4 donkeys in Serbia. It is morphologically
identical with E. gingivalis, except that
its trophozoites are somewhat smaller,
measuring 7 to 14jj, in diameter. It has
ENTAMOEBA SUIGINGIVALIS
TUMKA, 1959
Tumka (1959) found this amoeba on the
coating of the teeth of 6 out of 32 domestic
pigs from the vicinity of Leningrad. It re-
sembles E. gingivalis but is in its lower
size range, measuring 7 to 12fi with a
mean length of 9 jj, when fixed and stained.
It is questionable whether this is a sepa-
rate species.
ENTAMOEBA CAUDATA
CARINI AND REICHENOW, 1949
This species was found in the feces
of a dog in Brazil. No cysts were seen.
The trophozoites were 10 to 36 fi long.
Their pseudopods and nuclei resembled
those of E. histolytica, but they differed
from it in containing many ingested bac-
teria and in having a sac-like appendage
at the posterior end containing dense,
darkly staining cytoplasm and undigested
bacteria.
ENTAMOEBA GEDOELSTI
(HSIUNG, 1930)
Synonym: Endamoeba gedoelsti.
Hsiung (1930) found this amoeba in
the cecum or colon of 7 out of 46 horses
in Iowa. What was probably the same spe-
cies had been seen in the horse by Gedoelst
(1911) in Belgium and Fantham (1920) in
South Africa. No cysts have been seen.
The trophozoites are 7 to 13 |i long and
contain bacteria in their food vacuoles.
The nucleus is similar to that of E. coli,
with an eccentric endosome surrounded
by a halo and a row of peripheral chromatin
granules.
ISO
THE AMOEBAE
K
M N
Q
Fig. 21. A. Entcniioeha bKlialiis trophozoite. B. E. bnluilus cyst. C. Eiiliimocba
chattoiii Irophozoite. D. E. clia I loni cyst. E. E)ila»ioeba gingivalis tropho-
zoite from dog. F. Entamoeba gedoelsti trophozoite. G. Eiilaiiioeba caudata
trophozoite. H. lodaiiioeba biictschlii trophozoite. I. /. buctschlii cyst.
J. Entamoeba cqiiibiiccalis trophozoite. K. Eiidolimax nana trophozoite.
L. E. nana cyst. M. Endolima.x grcgarini/ormis trophozoite. N. E. greg-
ariniformis cyst. X 1700. (From Hoare, 1959, in Veterinary Reiiens and
Annotations). O. Vahlkanipfia lobospinosa trophozoite. P. V. lobospinosa
cyst. X 1050. (From Becker and Talbott, 1927). Q. Dientamoeba fragilis
trophozoite. X 1700. (From Wenrich, 1944, J. Morph. 74:467)
THE AMOEBAE
151
ENTAMOEBA CAPRAE
FANTHAM, 1923
Fantham (1923) described this species
from the intestine and reticulum of a
lightly infected goat in South Africa. It is
very large, one streaming individual
measuring 34 by 24 jn. The pseudopods
are short and lobose, and red cells may
be ingested. The nucleus is oval, 9 to
10 /i in diameter, with an eccentric endo-
some. No cysts were seen. The relation-
ship of this form to other goat amoebae
remains to be determined.
papio, kra monkey, green monkey, Anubis
baboon, Gelada baboon and mandrill,
(Mackinnon and Dibb, 1938; Wenrich, 1937).
In addition, Mackinnon and Dibb (1938)
found this species in the giant forest hog,
Hyloclioerus meintritz-hageni. Smith
(1928) infected rats with /. buetschlii
from man, and Pavloff (1935) did so with
a strain from the pig. However, Simitch
et al. (1959) were unable to infect man
with cysts from fresh pig feces or to infect
the pig with cysts from fresh human feces;
they gave no details of their experiments.
Location: Cecum and colon.
ENTAMOEBA SP.
Brenon (1953) tabulated 3 deaths from
amoebic dysentery among the causes of
death he observed in 1005 chinchillas in
California. Since the amoebae of chin-
chillas have apparently not been described,
they cannot be assigned to any species.
Genus lOD AMOEBA Dobell, 1919
In this genus the nucleus is vesicular,
with a large endosome rich in chromatin,
a layer of lightly staining globules sur-
rounding the endosome, and some achro-
matic strands between the endosome and
nuclear membrane. The cysts contain a
large glycogen body which stains darkly
with iodine. They are ordinarily uninu-
cleate. This genus occurs in vertebrates.
A single species is recognized.
lOD AMOEBA BUETSCHLII
(VON PROWAZEK, 1912)
DOBELL, 1919
Synonyms : Entamoeba williamsi
pro parte, Endoliniax williamsi, Endo-
limax pileonucleatus, lodamoeba wenyoni,
lodamoeba suis, Endolimax kueneni.
Hosts : Pig, man, chimpanzee, gor-
illa, macaques and other monkeys and
baboons, including Macaca mulatta, M.
irus, M. sancti-johannis, M. lasiotis,
M. philippinensis , Cercocebus aethiops,
Cercopithecus mona, C. ascanius, Papio
Geographic Distribution : Worldwide.
Prevalence: /. buetschlii is the com-
monest amoeba of swine, and the pig was
probably its original host. Frye and
Meleney (1932) found it in 24% of 127 pigs
in Tennessee. Alicata (1932) found it in
25% of 35 pigs in the U. S. Cauchemez
(1921) estimated that it was present in 50
to 60% of the pigs he examined in France.
Noller (1922) found it in about 20% of those
he examined in Germany. Pavloff (1935)
found it in 29% of 530 pigs in France and
30% of 1310 pigs in Bulgaria. Simitch
et al. (1959) found it in 8% of 1800 pigs in
Yugoslavia. Kessel (1928a) found it in
42% of the pigs he examined in China, and
Chang (1938) found it in 51% of 209 pigs in
China.
According to Belding (1952), I. buet-
schlii was found in 8. 4% of 17, 568 persons
in 20 surveys thruout the world, and in 4%
of the people in American surveys. Wen-
rich (1937) found it in 44% of 55 apes and
monkeys which he examined.
Morphology : Wenrich (1937), among
others, has studied the morphology of /.
buetschlii. The trophozoite is usually 9
to 14/1 long but may range from" 4 to 20 /x.
It has clear, blunt pseudopods which form
slowly, and it moves rather slowly. The
ectoplasm is clear, but not well separated
from the granular endoplasm. Food vac-
uoles containing bacteria and yeasts are
present in the cytoplasm. The nucleus is
relatively large, and ordinarily contains
a large, smoothly rounded, central
152
THI AMOEBAE
endosome surrounded by a vesicular space
containing a single layer of periendosomal
granules about midway between the endo-
some and the nuclear membrane. Fibrils
extend to the nuclear membrane, but
there are no peripheral granules inside
the membrane. Stabler (1945) described
tube-like processes which may be used
for feeding in 12% and 27%, respectively,
of the trophozoites of 2 human strains.
The cysts are often irregular in form.
They are usually 8 to lOji long, but may
range from 5 to 14 fi. They contain a
single nucleus in which the periendosomal
granules have usually aggregated into a
crescent-shaped group at one side of the
endosome, pushing it to one side. They
contain a large, compact mass of glycogen
which stains deeply with iodine. The gly-
cogen disappears after 8 to 10 days in
feces held at room temperature, and at
the same time the cysts die and disinte-
grate (von Brand, 1932). There are no
chromatoid bodies in the cysts, but they
may contain small, deeply staining gran-
ules something like volutin granules.
Life Cycle : /. buelschlii reproduces
by binary fission. Pan (1959) studied nu-
clear division in the trophozoites. He
considered the process unique; his paper
should be read for the details. The hap-
loid number of chromosomes is usually
more than 10--possibly 12.
Pathogenesis : /. buelschlii is non-
pathogenic except under unusual circum-
stances. These have never been noted in
the pig, but Andrew (1947) reported symp-
toms similar to those of chronic E. Iiislo-
lytica in a few persons, and Derrick (1948)
described a fatal generalized infection in
a Japanese soldier captured in New Guinea
in which there were ulcers in the stomach,
small intestine, large intestine, lymph
nodes, lungs and brain.
Bionomics and Epidemiology : /.
buelschlii, like other intestinal amoebae,
is transmitted by cysts.
Cultivation : This species can be cul-
tivated in the usual media.
Treatment : Little is known about
treatment for /. buelschlii, but it can be
eliminated by emetine.
Prevention and Control : The same
preventive measures recommended for
E. hislolylica will also prevent /. buel-
schlii infections.
Genus ENDOUMAX Kuenen and
Swellengrebel, 1917
These are small amoebae. The nu-
cleus is vesicular, with a comparatively
large, irregularly shaped endosome com-
posed of chromatin granules embedded in
an achromatic ground substance, and with
several achromatic threads connecting the
endosome with the nuclear membrane.
Cysts are present. This genus occurs in
both vertebrates and invertebrates.
ENDOLIMAX NANA
(WENYON AND O'CONNOR, 1917)
BRUG, 1918
Synonyms : Amoeba Umax. Enta-
moeba nana, Endolimax inteslinalis,
Endolimax cynomolgi, Endolimax suis,
Councilmania tenuis .
Hosts : Man, pig, gorilla, chimpan-
zee, gibbon, macaques and other monkeys
and baboons, including AJacaca mulalta,
M. irus, M. sinica, M. sancti-johannis,
M. lasiotis, M. philippinensis, Papio
papiu, Cercocebus aethiops, Cercopith-
ecus asca)iius, Gamadyillns sp. , and
Erytlirocebns patas (see Mackinnon and
Dibb, 1938). These authors also reported
a morphologically indistinguishable form
from the capybara [Hydrochoerus capybara)
and tree porcupine (Coendou prehensilis).
It is quite likely that E. ratti (see be-
low) may be a synonym of E. nana, so that
the latter's host range may be even broader
than that given above. Chiang (1925) con-
sidered E. ratti a separate species because
he was unable to infect 14 rats with E. nana
from man. However, Kessel (1928) suc-
ceeded in doing so, and Smith (1928) found
THE AMOEBAE
153
an E. naua-\i]^e amoeba in 4 of 63 rats
which had been fed human feces but did
not know whether it had already been
present in the rats.
Dobell (1933) transmitted E. nana
from Macaca sinica to a man (himself)
and from man to M. mulatto. Kessel
(1928) infected M. irus with E. nana from
man. However, Simitch et al. (1959) were
unable to infect 4 young pigs with E. nana
from man and consequently named the pig
form E. siiis; they gave no details of their
experiments.
Location: Cecum, colon. Hegner
(1929) and Dobell (1933) found E. nana in
the vagina of macaques, where it was
most likely of fecal origin.
Geographic Distribution : Worldwide.
Prevalence : E. nana is common in
man. According to Belding (1952), it was
found in 20. 5% of 18, 333 persons in 20
surveys thruout the world and in about
14% of those examined in the United States.
Frye and Meleney (1932) found it in 5. 5%
of 127 pigs in Tennessee, Alicata (1932)
found it in 1 of 35 pigs in the U.S. , Kessel
(1928) found it in 14% of the pigs examined
by him in China, and Chang (1938) found
it in 15% of 209 pigs in China. Simitch
et al. (1959) found it in 8% of 1800 pigs
in Yugoslavia.
Morphology : The trophozoites are
6 to 15 p. in diameter with an average of
10 ju. They move sluggishly by means
of a few blunt, thick pseudopods. The
endoplasm is granular, vacuolated and
contains bacteria and crystals. The nu-
cleus contains a large, irregular endo-
some composed of a number of chromatin
granules. Several achromatic fibrils run
from the endosome to the nuclear mem-
brane. There are ordinarily no peripheral
chromatin granules, but Stabler (1932)
noted that they are formed after fixation
in Schaudinn's fluid containing 20% acetic
acid. The cysts are oval, often irregular,
and thin-walled; they are usually 8 to 10 ^
long but may range from 5 to 14 /i. The
mature cysts contain 4 nuclei, and they
may contain ill-defined glycogen bodies.
They have no chi'omatoid bodies but may
have small granules resembling volutin
and occasionally a few filaments of uncer-
tain nature.
Life Cycle : Reproduction is by binary
fission in the trophozoite stage. The
amoeba which leaves the cyst is multinu-
cleate, but it divides into uninucleate
amoebulae which grow into ordinary tropho-
zoites.
Pathogenesis : E. nana is non-patho-
genic.
Bionomics and Epidemiology : E. nana
is transmitted in the same way as other
enteric amoebae. Dobell (1933) found that
its cysts could live at least 2 weeks at
room temperature (15-24° C) and at least
3 weeks at 10° C, while all the trophozoites
died in 24 hours at both temperatures.
Frye and Meleney (1932) found E. nana
cysts in 1 out of 46 lots of flies which they
examined in Tennessee.
Cultivation : This species can be cul-
tivated in the usual media.
Treatment : Little is known about the
treatment of E. nana. Dobell (1933) and
others found that emetine has no effect on
it.
Prevention and Control : The same
preventive measures recommended for
E. histolytica will also prevent E. nana
infections.
ENDOLIMAX RATTI
CfflANG, 1925
This species, which may be a synonym
of E. nana, occurs in the cecum and colon
of laboratory and wild rats. Andrews and
White (1936) found it in 1 out of 2515 wild
rats in Baltimore, and Baldassari (1935)
found it in 1 of 225 wild rats in Toulon,
France. Chiang (1925) did not describe it,
but merely stated that it was morphologi-
cally identical with E. nana.
154
THE AMOEBAE
ENDOLIMAX CAVIAE
HEGNER, 1926
This species occurs commonly in the
cecum of the guinea pig. Hegner (1926)
found it in Baltimore and Hegner and Chu
(1930) found it in the Philippines. Nie
(1950) found it in 18% of 84 guinea pigs in
Pennsylvania. It is somewhat smaller
than E. nana, the trophozoites measuring
5 to 11 by 5 to 8n , but otherwise resem-
bles it. Nie saw one specimen with an
ingestion tube. The cysts are apparently
unknown.
ENDOLIMAX GREGARINIFORMIS
(TYZZER, 1920)
HEGNER, 1929
Synonyms: Pygolimax gregarini-
formis, Endolimax janisae, EndoUtnax
niimidae.
large number of chickens he examined in
Pennsylvania.
The trophozoites of E. gregariniformis
are usually 4 to 13 /i long with a mean of
9 by 5^1 , altho Hegner (1929a) found a
small race in the guinea fowl. The tropho-
zoites are oval, often with a posterior pro-
tuberance, and move sluggishly. The ecto-
plasm is not clearly separated from the
endoplasm. The food vacuoles contain bac-
teria. The nucleus is very similar to that
of E. nana but tends to have a larger endo-
some and a more apparent nuclear mem-
brane, often with chromatin granules at
the juncture of the achromatic threads with
the membrane. The cysts have 4 nuclei
when mature; they measure 7 to 8 by 8 to
11 /x with a mean of 10 by 7;i (McDowell,
1953). They tend to be somewhat lima
bean- shaped instead of truly ovoid, and
are often highly vacuolated.
This species is found in the ceca of
the chicken, turkey, guinea fowl, pheas-
ant, domestic goose, domestic duck and
various wild birds, including the black
duck (Anas riibripes Iristis), black-
crowned night heron (Nycticorax nycti-
corax) and screech owl.
E. gregariniformis was first des-
cribed by Tyzzer (1920) from the turkey;
he transmitted it easily to the chicken.
Hegner (1926) described it from the
chicken, naming it E. janisae. Hegner
(1929a) found the same species and an-
other form which he named E. numidae
in the guinea fowl. The latter was
smaller than E. gregariniformis , aver-
aging 4 by 3/i, but nevertheless fell within
its size range and did not differ from it
morphologically. Hegner (1929a) infected
chicks with both sizes of Endolimax irom
the guinea fowl and also with Endolimax
from the domestic goose, domestic duck
and screech owl. Richardson (1934) in-
fected chicks with Endolimax from the
duck, goose, pheasant, black duck and
black-crowned night heron.
E. gregariniformis occurs thruout
the world and is non-pathogenic.
McDowell (1953) found it in over 50% of a
Genus DIENTAMOEBA Jepps and
Dobell, 1918
These are small amoebae, usually
with 2 nuclei. The nuclei are vesicular,
with a delicate membrane and an endosome
consisting of several chromatin granules
connected to the nuclear membrane by
delicate strands. No cysts are known.
Dobell (1940) considered that this genus
might be an aberrant flagellate closely
related to Histomonas .
DIENTAMOEBA FRAGILIS
JEPPS AND DOBELL, 1918
This species occurs in the cecum and
colon of man and also of some monkeys.
According to Belding (1952), it was found
in 4. 2% of 7120 persons in 14 surveys
thruout the world. Hegner and Chu (1930)
found D. frag His in 2 out of 44 Macaca
philippinensis in the Philippines, and
Knowles and Das Gupta (1936) found it in
1 out of 4 M. iriis in India. In addition.
Noble and Noble (1952) mentioned finding
a Dientamoeba in sheep feces in California.
Only trophozoites are known for this
species. They are very sensitive to
THE AMOEBAE
155
environmental conditions, bursting in
water and becoming degenerate in older
fecal samples. In order to identify them,
smears of fresh feces should be fixed in
Schaudinn's fluid containing 10 to 20%
acetic acid or in Bouin's fluid and stained
with iron hematoxylin. Their morphology
has been studied by Wenrich (1936, 1939,
1944) and Dobell (1940), whose accounts
do not always agree.
The trophozoites range from 3 to 22 jj.
but are usually 6 to 12 jn in diameter.
The ectoplasm is distinct from the endo-
plasm, which contains food vacuoles filled
with bacteria, yeasts, starch granules,
and parts of cells. In fresh feces there
may be a single clear, broad pseudopod.
About 3/5 of the protozoa contain 2 nuclei
which are connected by a filament or des-
mose. This appears to be one of the first
structures to disappear during degenera-
tion. Each nucleus is vesicular and has
an endosome composed of 4 to 8 granules
from which a few delicate fibers radiate
to the nuclear membrane. There is no
peripheral chromatin.
Reproduction is by binary fission.
There are 4 chromosomes.
At one time D. fragilis was thought
to be non- pathogenic, and this is true in
most cases. However, in some persons
it causes a mucous diarrhea and gastro-
intestinal symptoms. It does not invade
the tissues, but may cause low-grade ir-
ritation of the intestinal mucosa, excess
mucus secretion and hypermotility of the
bowel. There may be mild to moderate
abdominal pain and tenderness or dis-
comfort. There may also be an increase
in eosinophiles.
The mode of transmission of D. fra-
gilis is not clear, since there are no cysts
and the trophozoites are so delicate.
Dobell (1940) was unable to infect himself
by mouth or 2 monkeys by mouth or rec-
tally and suggested, by analogy with His-
tomonas, that D. fragilis might possibly
be transmitted by an intestinal nematode
such as Trichuris. This idea has been
partially confirmed by Burrows and
Swerdlow (1956), who found small, amoe-
boid organisms resembling D. fragilis in
the eggs of Enterobius vermicularis and
suggested that the pinworm might be the
vector.
D. fragilis can be readily cultivated
in the usual culture media. It is sensitive
to most amoebicidal drugs, including car-
barsone, diodoquin and erythromycin.
LITERATURE CITED
Alicata, J. E. 1932. Parasit. 18:310-311.
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Chapter 8
THE
TELOSPORASIdA
AND THE
cocaviA
PROPER
All members of the class Telospo-
rasida are parasitic. They have simple
spores, without polar filaments. (The
spore has been lost secondarily in a few
genera. ) Each spore contains 1 to many
sporozoites. Pseudopods, cilia and fla-
gella are absent, except for flagellated
microgametes in some groups. Locomo-
tion is by body flexion or gliding. Repro-
duction is both sexual and asexual, and
there may or may not be alternation of
generations. Most Telosporasida are
saprozoic, but a few, including the tropho-
zoites of the malaria parasite, are holo-
zoic.
Most of the Telosporasida probably
arose from the Mastigasida, but some may
have arisen from the Sarcodasida. How-
ever, it is difficult to be sure of their
origin because of their lack of the usual
organelles of locomotion.
The classification of this and related
groups is still the subject of considerable
difference of opinion among taxonomists,
and that used in this book is not consid-
ered definitive. It may require several
generations of parasitologists to work out
a universally acceptable one. This class
is divided into 2 subclasses, of which the
Gregarinasina parasitize invertebrates
and the Coccidiasina occur in both verte-
brates and invertebrates. In the latter
group, the mature trophozoite is ordinar-
ily intracellular and comparatively small.
The coccidia and their relatives belong
to the order Eucoccidiorida. In this order,
schizogony is present and the life cycle
involves both sexual and asexual phases.
Members of the order are found in the
epithelial and blood cells of vertebrates
and invertebrates.
The coccidia proper belong to the sub-
order Eimeriorina, which is differentiated
from the other 2 suborders by several fea-
tures of its life cycle. The macrogamete
and microgametocyte develop independently,
the microgametocyte produces many micro-
gametes, the zygote is not motile, and the
158
THE TELOSPORASIDA AND THE COCCIDIA PROPER
159
NUMBER
SPOROCYSTS
PER OOCYST
NUMBER SPOROZOITES PER SPOROCYST
I 2 3 4 8 16 n
8
16
u I);
^SClV
^■M^i>'
: ; II i !
CYCLOSPORA
OCTOSPORELLA
III;;
■-iihOii);
PFEIFFERINELLA
CRYPTDSPORIDIUy ^?l^,y-*5**'*
iiZZERlA
ISOSPORA 00RI51ELLA
WENYONELLA
PYTHONELLA
-'JSa®'
I I I I \
\ ^vy^'' /
[^^.\\y\[{\l>] iSJii; ^ii'j
Fig. 22. Numbers of sporocysts per oocyst and of sporozoites per sporocyst in the
genera of the suborder Eimeriorina. (In the genera without sporocysts, the
numbers of sporozoites per oocyst are given. ) (Original)
sporozoites are typically enclosed in a
sporocyst. All the coccidia of domestic
animals and man, with one possible ex-
ception, belong to two families, the
Eimeriidae and Cryptosporidiidae. An-
other family, the Lankesterellidae, is of
considerable interest. Becker (1934)
wrote a classic review of the coccidia.
Orlov (1956) discussed those of domestic
animals, but was seriously handicapped
by lack of information about non- Russian
work. Becker (1956) and Pelle'rdy (1956,
1957) have given checklists of the species
of coccidia. The coccidia of the avian
orders Galliformes, Anserlformes and
Charadriiformes were reviewed by Levine
(1953).
FAMILY EIMERIIDAE
Members of this family have a single
host. Schizogony and gametogony take
place within the host cells, and sporogony
ordinarily occurs outside the host's body.
The oocysts and schizonts lack an attach-
ment organ. The oocysts contain 0, 1, 2,
4 or many sporocysts, each containing 1
160
THE TELOSPORASIDA AND THE COCCIDIA PROPER
MICROPYLE CAP
MICROPYLE
SPORULATED
EIMERIA OOCYST
POLAR GRANULE
STIEOA BODY
SMALL REFRACTILE GLOBULE
IN SPOROZOITE
LARGE REFRACTILE GLOBULE
IN SPOROZOITE
SPOROCYST
OOCYST RESIDUUM
SPOROCYST RESIDUUM
SPOROZOITE NUCLEUS
SPOROZOITE
INNER LAYER OF OOCYST WALL
OUTER LAYER OF OOCYST WALL
Fig. 23. Structures of sporulated Eiiiicria oocyst.
(Original)
or more sporozoites. The microgametes
have 2 flagella. The genera are differen-
tiated by the number of sporocysts in their
oocysts and the number of sporozoites in
each oocyst.
Morphology . The morphology of a
typical oocyst, that of Einieria, is shown
in Fig. 23. The oocyst wall is composed
of 1 or 2 layers and may be lined by a
membrane. It may have a micropyle,
which may be covered by a micropylar
cap. Within the oocyst in this genus are
4 sporocysts, each containing 2 sporozoites.
There may be a retractile polar granule in
the oocyst. There may be an oocyst resi-
duum or a sporocyst residuum in the oocyst
and sporocyst, respectively; these are com-
posed of material left over after the forma-
tion of the sporocysts and sporozoites. The
sporocyst may have a knob, the Stieda body,
at one end. The sporozoites are usually
sausage- or comma-shaped, and may con-
tain 1 or 2 clear globules.
Location . Most coccidia are intra-
cellular parasites of the intestinal tract,
but a few occur in other organs such as the
liver and kidney. Each species is usually
found in a specific location within the in-
testinal tract; some are found in the cecum,
others in the duodenum, still others in the
ileum, etc. They may invade different
cells in these locations. Some species are
found in the mucosal cells at the tips of
the villi, others in the crypts and still
others in the interior of the villi. Their
location within the host cell also varies.
Some species are found above the host
cell nucleus, while others are found be-
neath it and a few occur inside it. Some
species enlarge the host cell only slightly,
while others cause it to become enormous.
The host cell nucleus is also often greatly
enlarged even tho it may not be invaded.
Life Cycle : The life cycles of the
Eimeriidae are similar, and can be illus-
trated by that of Ei»ieyia teiiella, which is
found in the ceca of the chicken (Fig. 24).
It was first worked out in a classic paper
by Tyzzer (1929). The oocysts are passed
in the feces; at this time they contain a
single cell, the sporont. They must have
oxygen in order to develop to the infective
stage, a process known as sporulation or
sporogony. The sporont, which is diploid,
undergoes reduction division and throws
off a retractile polar body. The haploid
number of chromosomes is 2 (Walton,
1959). The sporont divides to form 4
sporoblasts, each of which then develops
into a sporocyst. Two sporozoites develop
within each sporocyst. Sporulation takes
2 days at ordinary temperatures. The
oocysts are then infective and ready to
continue the life cycle.
When eaten by a chicken, the oocyst
wall breaks, releasing the sporozoites.
The factors which cause excystation have
not been determined. Itagaki and Tsubo-
kura (1958) found that pancreatic juice did
not cause excystation of E. lenella, and
Landers (1960) was unable to induce ex-
cystation by treating the oocysts of E.
nieschulzi from the rat with pepsin, tryp-
sin, pancreatin, pancreatic lipase or bile.
Ikeda (1960), however, reported that pan-
creatic juice did cause excystation of E.
teiiella, and that trypsin was the respon-
sible enzyme.
According to Challey and Burns (1959)
and Pattillo (1959), the sporozoites first
enter the cells of the surface epithelium.
Pattillo (1959) observed passageways,
which he called penetration tubes, in the
striated border and epithelium thru which
the sporozoites passed. They deploy along
THE TELOSPORASIDA AND THE COCCIDIA PROPER
161
Fig. 24. Life cycle of the chicken coccidium, Eimeria tenella. A sporozoite (1) enters
an intestinal endothelial cell (2), rounds up, grows, and becomes a first gen-
eration schizont (3). This produces a large number of first generation mero-
zoites (4), which break out of the host cell (5), enter new intestinal endothelial
cells (6), round up, grow, and become second generation schizonts (7, 8).
These produce a large number of second generation merozoites (9, 10), which
break out of the host cell (11). Some enter new host intestinal endothelial
cells and round up to become third generation schizonts (12, 13), which pro-
duce third generation merozoites (14). The third generation merozoites (15)
and the great majority of second generation merozoites (11) enter new host
intestinal endothelial cells. Some become microgametocytes (16, 17), which
produce a large number of microgametes (18). Others turn into macrogametes
(19, 20). The macrogametes are fertilized by the microgametes and become
zygotes (21), which lay down a heavy wall around themselves and turn into
young oocysts. These break out of the host cell and pass out in the feces (22).
The oocysts then sporulate. The sporont throws off a polar body and forms 4
sporoblasts (23), each of which forms a sporocyst containing 2 sporozoites
(24). When the sporulated oocyst (24) is ingested by a chicken, the sporo-
zoites are released (1). (Original)
the basement membrane and then pass
thru it into the lamina propria. Here
they are engulfed by macrophages and
carried by them to the glands of Lieber-
kuhn. They then leave the macrophages
and enter the epithelial cells of the glands,
where they are found below the host cell
nucleus, i.e. , on the side away from the
lumen. We do not know how common this
method of penetration is among the coc-
cidia; Van Doorninck and Becker (1957)
first found it in E. necatrix of the chicken.
162
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Once in a glandular epithelial cell,
each sporozoite rounds up and becomes a
first generation schizont. By a process
of asexual multiple fission (schizogony),
each schizont forms about 900 first gen-
eration merozoites, each about 2 to 4/j.
long. These get their name from the
Greek word for mulberry, which they re-
semble before they separate. They break
out into the lumen of the cecum about 2. 5.
to 3 days after infection. Each first gen-
eration merozoite enters a new host cell,
and rounds up to form a second generation
schizont, which lies above the host cell
nucleus. By multiple fission it forms
about 200 to 350 second generation mero-
zoites about IGfi long. These are found
5 days after infection. Some of them
enter new intestinal cells, round up to form
third generation schizonts, which lie be-
neath the host cell nuclei and produce 4 to
30 third generation merozoites about 7ji
long.
Most of the second generation mero-
zoites, however, enter new host cells and
begin the sexual phase of the life cycle,
known as gametogony. Most of these
merozoites turn into female gametes (ma-
crogametes), which simply grow until they
reach full size. Some of the merozoites
turn into male gametocytes (microgameto-
cytes). Both the macrogametes and mi-
crogametocytes lie below the host cell
nuclei. Within each microgametocyte a
large number of tiny biflagellate micro-
gametes are formed. These break out
and fertilize the macrogametes.
The resultant zygote lays down a wall
around itself in the following way: The
macrogametes contain one or two layers
of eosinophilic plastic granules in their
cytoplasm; these are composed of muco-
protein (Kheisin, 1958). They pass to the
periphery, flatten out and coalesce to
form the oocyst wall after fertilization.
The formation of this wall marks the
transition of a fertilized macrogamete into
an oocyst. According to Monne and Honig
(1954), the outer layer of the oocyst wall
is a quinone-tanned protein and the inner
layer is a lipid coat firmly associated
with a protein lamella.
The oocysts then break out of their
host cells, enter the intestinal lumen, and
pass out in the feces. The prepatent per-
iod, from the time of infection to the ap-
pearance of the first oocysts in the feces,
is 7 days. Oocysts continue to be dis-
charged for a number of days thereafter,
due to the fact that the sporozoites do not
all enter the host cells immediately but
may remain in the lumen for some time,
and also because many of them are retained
in a plug of material in the ceca for some
days before they are eliminated.
In the absence of reinfection, coccidial
infections are self-limiting. Asexual re-
production does not continue indefinitely as
it does, for example, in Plasmodium. In
E. tenella, 3 generations of merozoites are
produced; in other species there may be 1,
2 or 4. After this, the life cycle enters its
sexual phase; the oocysts are formed,
eliminated from the body, and the infection
is over. Reinfection may take place, but
the host develops more or less immunity
following primary infection.
The number of oocysts produced in an
animal per oocyst fed depends in part on
the number of merozoite generations and
the number of merozoites per generation.
A single oocyst of E. tenella containing 8
sporozoites is theoretically capable of pro-
ducing 2, 520, 000 second generation mero-
zoites (8 X 900 X 350), each of which can
develop into a macrogamete or micro-
gametocyte.
In E. bonis of cattle, there is only a
single asexual generation, but a giant
schizont containing about 120,000 mero-
zoites is formed (Hammond et al. 1946).
In the rat, E. nieschidzi is theoretically
capable of producing 1, 500,000 oocysts
per oocyst fed, E. miyairii 38,016, and
E. separata only 1536 (Roudabush, 1937).
In E. nieschulzi there are 4 generations of
merozoites, while in the latter two species
there are only 3, and fewer merozoites are
usually produced in each than in E. nie-
sclmlzi. In the rabbit, E. magna produces
800,000 oocysts per oocyst fed, E. media
produces 150,000 and £. coecicola 100,000
(Kheisin, 1947, 1947a).
THE TELOSPORASIDA AND THE COCCIDIA PROPER
163
The actual numbers of oocysts pro-
duced per oocyst fed are usually consider-
ably lower than the theoretical ones. K
the host is resistant or immune, it des-
troys many merozoites, and many others
pass out in the feces before they have time
to enter host cells. The infecting dose is
also an important factor in determining
the number of oocysts produced. The
greater the infecting dose, the smaller the
number of oocysts usually produced per
oocyst fed. For example. Hall (1934) ob-
tained a yield of 1, 455, 000 oocysts of E.
nieschulzi per oocyst fed when the infecting
dose was 6 oocysts, 1, 029, 666 when it was
150 oocysts, and 144, 150 when it was 2000
oocysts. If the infecting dose is too small,
however, smaller numbers of oocysts are
produced. Hall (1934) found that when only
a single oocyst was fed, the yield was
62,000.
Similarly, Brackett and Bliznick
(1950, 1952) found that with E. acervuUna
of the chicken, 9000 oocysts were produced
per oocyst fed when the infecting dose was
200 oocysts, 35, 000 to 72, 000 when it was
2000 oocysts, 35,000 when it was 10,000
oocysts, and 7,600 when it was 20,000
oocysts. With E. maxima of the chicken,
they found that 11, 500 oocysts were pro-
duced per oocyst fed when the infecting
dose was 200 oocysts, 2, 250 when it was
2000 oocysts, and 940 to 2900 when it was
10, 000 oocysts. With E. necatrix of the
chicken, they found that 50, 000 oocysts
were produced per oocyst fed when the in-
fecting dose was 200 oocysts, and 2400
when it was 2000 oocysts. With E. tenella
of the chicken, they found that the maxi-
mum number of oocysts produced per
oocyst fed in numerous experiments was
400,000. However, in one series of 2-
week-old chicks this figure ranged from
1200 for chicks fed 40, 000 oocysts to
80, 000 when the infecting dose was 50
oocysts.
All the factors responsible for these
results are not known. More effective
mobilization of the host's defenses is
probably important, but lack of enough
epithelial cells to parasitize, sloughing of
patches of epithelium, increased intes-
tinal motility with resultant diarrhea and
elimination of merozoites before they can
reach a cell, and entrapment of merozoites
in tissue debris and cecal cores may also
play a part.
Pathogenesis . While many species
of coccidia are pathogenic, many others
are not. Pathogenicity depends on a num-
ber of factors, some of which are probably
still unknown. Among those which might
be mentioned are the number of host cells
destroyed per infecting oocyst (which de-
pends upon the number of merozoite gen-
erations and the number of merozoites per
generation) and the location of the parasite
in the host tissues and within the host cells.
The size of the infecting dose or doses,
the degree of reinfection, and the degree
of acquired or natural immunity of the host
are also important.
Even with a pathogenic species, the
final effect on the host depends on the in-
terplay between many factors; it may range
from rapid death in susceptible animals to
an imperceptible reaction in immune ones.
If disease is present, the signs are
those of a diarrheal enteritis. There may
or may not be blood in the feces, depending
on the parasite species and severity of in-
fection. Affected animals gain weight
poorly, become weak and emaciated, or
may even die, depending again on the para-
site species and the size of the infecting
dose. Young animals are much more com-
monly affected than older ones. Those ani-
mals which recover develop an immunity
to the particular species which infected
them. However, this is not an absolute
immunity, and recovered adult animals
are often continuously reinfected so that
they carry light infections which do not
harm them but which make them a source
of infection for the young. In addition,
under conditions of stress their immunity
may be broken down and they may suffer
from the disease again.
Differentiation of Species . Both
morphological and biological characters
are used to separate the species of coc-
cidia. Both the endogenous and exogenous
stages of the life cycle may differ morpho-
logically. However, since the endogenous
164
THE TELOSPORASIDA AND THE COCCIDLA PROPER
stages of many species are unknown, the
structure of the oocyst is most commonly
used. The feeling is sometimes expressed
that the oocysts have so few structures
that not many species can be distinguished
morphologically, but conservative calcu-
lation shows that at least 2, 654, 208 mor-
phologically different oocysts are possible
in the genus Eimeria alone (Levine, 1961).
A second group of criteria is the loca-
tion of the endogenous stages in the host.
This has been discussed above. Host
specificity is a third criterion. This var-
ies with the protozoan genus and to some
extent with the species. In general, the
host range of Isospora and Tyzzeria spe-
cies is relatively broad. Several mem-
bers of the same host order may be in-
fected by the same species of these genera.
For example, Isospora bigemina occurs in
the dog, cat, ferret and mink, while
Tyzzeria anseris has been found not only
in the domestic goose and several other
members of the genus Anser, but also in
the Canada goose and Atlantic brant (both
Branla) and whistling swan (Olor). On the
other hand, the host range of Eimeria spe-
cies is relatively narrow. A single species
rarely infects more than one host genus
unless the latter are closely related.
Cross-immunity studies are also used
in differentiating the coccidia of a partic-
ular host species from each other. Infec-
tion of an animal with one species of coc-
cidium produces immunity against that
species but not against other species which
occur in the same host.
Diagnosis : Coccidiosis can be diag-
nosed by finding the coccidia on micro-
scopic examination. There are several
pitfalls in diagnosis. Each species of do-
mestic and laboratory animal has several
species of coccidia, some of which are
pathogenic and some of which are not.
Since an expert is often needed to differ-
entiate between some of the species, the
mere presence of oocysts in the feces,
even in the presence of disease signs, is
not necessarily proof that the signs are
due to coccidia and not to some other
agent.
Following recovery from a coccidial
infection, an animal is relatively immune
to reinfection with the same species. This
immunity is not so solid that the animal
cannot be reinfected at all, but it does
mean that the resultant infection will be
low-grade (except possibly under conditions
of stress) and will not harm the host. Such
low-grade infections are extremely common,
i.e., the animals have coccidiasis rather
than coccidiosis. Hence, the presence in
the feces of oocysts of even highly patho-
genic species of coccidia does not neces-
sarily mean that the animal has clinical
coccidiosis.
On the other hand, coccidia may cause
severe symptoms and even death early in
their life cycle before any oocysts have
been produced. This occurs commonly,
for example, with E. tenella of the chicken
and E. ziirnii of the ox. Consequently,
failure to find oocysts in the feces in a
diarrheal disease does not necessarily
mean that the disease is not coccidiosis.
The only sure way to diagnose coccid-
iosis, then, is by finding lesions containing
coccidia at necropsy. Scrapings of the le-
sions should be mixed on a slide with a
little physiological salt solution and exam-
ined microscopically. It is not enough to
look for oocysts, but schizonts, mero-
zoites, gametes and gametocytes inside
the host cells must be sought for and rec-
ognized.
Some species of coccidia can be iden-
tified from their unsporulated oocysts,
but study of the sporulated oocysts is often
desirable. Oocysts can be sporulated by
mixing the feces with several volumes of
2. 5% potassium bichromate solution, plac-
ing the mixture in a thin layer in a Petri
dish and allowing it to stand for 1 day to
2 weeks or more, depending on the spe-
cies. The potassium bichromate prevents
bacterial growth which might kill the pro-
tozoa, and the thin layer is necessary so
that oxygen can reach the oocysts.
Treatment . The first compound
found effective against coccidia was sulfur,
which was introduced by Herrick and
THE TELOSPORASIDA AND THE COCCIDIA PROPER
165
Holmes (1936). Later, Hardcastle and
Foster (1944) introduced borax. Neither
of these compounds was a satisfactory
anticoccidial drug. Sulfur interferes with
calcium metabolism, causing a condition
known as sulfur rickets in chickens, while
borax is only partially effective and in
addition is toxic in therapeutic doses.
The first practical anticoccidial drugs
were the sulfonamides, of which the first
to be used was sulfanilamide, introduced
by P. P. Levine (1939). Since that time
many different drugs have been used,
particularly against Eimeria lenella of the
chicken. These include not only sulfon-
amides but also derivatives of phenylar-
sonic acid, diphenylmethane, diphenyldi-
sulfide, diphenylsulfide, nitrofuran, tri-
azine, carbanilide, imidazole and benza-
mide. Several thousand papers have
probably been published on coccidiostatic
drugs, and their use in poultry production
is so common in the United States that it
is difficult to obtain a commercial feed
which does not contain one or another of
them. They are used to a considerably
lesser extent for other classes of live-
stock.
None of these drugs will cure a case
of coccidiosis once signs of the disease
have appeared. They are all prophylactic.
They must be administered at the time of
exposure or soon thereafter in order to be
effective. They act against the schizonts
and merozoites and occasionally against
the sporozoites, preventing the life cycle
from being completed. They are not
effective against the gametes. Hence,
since exposure in nature is continuous,
these drugs must be fed continuously.
This is usually done by mixing them with
the feed or water.
Nowhere is a knowledge of the normal
course of the disease more important than
in interpreting the results of treatment of
coccidiosis, and nowhere is the controlled
experiment more important than in research
in this field. This disease is self-limiting
not only in the individual patient but also in
a flock or herd. In a typical outbreak of
coccidiosis, signs of disease appear in
only a few animals at first, the number of
affected animals builds up rapidly to a
peak in about a week, and then the disease
subsides spontaneously. In the early
stages, most farmers do little, thinking
that the condition is unimportant and will
soon be over. Once more animals become
affected and losses increase, it takes a
little time to establish a diagnosis, so
treatment is often not started until the out-
break has reached its peak. Under these
circumstances, it matters little what treat-
ment is used- -the disease will subside.
This is the reason why so many quack rem-
idies used to get glowing testimonials from
satisfied users.
A similar course of events is encoun-
tered by the small animal practitioner.
The patient with coccidiosis is not brought
to him until it is already sick. By this
time it is too late for any anticoccidial
drug to be of value, altho supportive treat-
ment and control of secondary infections
may be helpful. If the patient recovers,
however, whatever drug happened to be
used is often given undeserved credit.
Such drugs are like Samian clay, which
was Galen's favorite remedy. He said
that it cured all diseases except those
which were incurable, in which case the
patient died.
Collins (1949) described the "four-pen
test" which should be used in evaluating
coccidiostats and other drugs. The birds
in one pen are infected with coccidia and
treated with the compound under test.
Those in the second pen are infected and
untreated, those in the third pen are un-
infected and treated, and those in the
fourth pen are uninfected and untreated.
Comparison of the first 2 pens determines
whether the compound has any effect on
the coccidia; the third and fourth pens are
used to determine whether the drug has
any effect on the chickens themselves and
to make sure that no extraneous infection
has taken place.
After an animal has been receiving a
coccidiostatic drug for some time during
exposure to infection, it develops an im-
munity to the coccidia. This occurs be-
cause the sporozoites are not affected by
the drug but invade the tissue cells and
stimulate the host's defenses.
166
THE TELOSPORASIDA AND THE COCCIDLA PROPER
After coccidiostats had been mixed in
poultry feeds for a number of years, it
was inevitable that drug resistant strains
of coccidia would appear. The first report
of this was by Waletzky, Neal and Hable
(1954), who found a field strain of Eiiiieria
tenella resistant to sulfonamides. Cuckler
and Malanga (1955) reported on 40 field
strains of chicken coccidia which were re-
sistant to one coccidiostat or another, and
drug resistance is now a well-known com-
plicating factor in the use of these agents.
A race has developed between the coccidia
and the pharmaceutical houses, and some
day, horribile dictu, we may be reduced
to sanitation to control coccidia.
Mixed Infections . All domestic ani-
mals have more than one species of coc-
cidia. Some are highly pathogenic, others
less so, and still others practically non-
pathogenic. Pure infections with a single
species are rare in nature, so the ob-
served effect is the resultant of the com-
bined actions of the particular mixture of
coccidia and other parasites present, to-
gether with the modifying effects of the
nutritional condition of the host and envi-
ronmental factors such as weather and
management practices.
In the remainder of this chapter, each
species of coccidium in a particular host
animal will be taken up first, and then a
general discussion of coccidiosis in the
host will follow.
Genus EIMEMA Schneider, 1875
In this genus the oocyst contains 4
sporocysts, each of which contains 2
sporozoites.
EIMERIA ALABAMENSIS
CHRISTENSEN, 1941
Hosts : Ox.
Location : Posterior half of ileum,
especially within a few feet forward from
the ileo-cecal valve. In heavy infections,
the cecum and upper colon may be in-
volved.
Geographic Distribution :
America.
North
Prevalence : Davis, Boughton and
Bowman (1955) found this species in 93%
of 102 dairy calves in 6 herds in south-
eastern United States in a weekly fecal
survey; they found it in 24% of 135 animals
from which only a single fecal sample was
taken; it was present in all of 26 herds
from which at least 5 animals were ex-
amined. Hasche and Todd (1959) found it
in 42% of 355 cattle in Wisconsin.
Morphology : The oocysts have been
described by Christensen (1941). They
measure 13 to 24 by 11 to 16 ji with a mean
of 18.9 by 13.4jLt. They are typically piri-
form but may also be subellipsoidal or sub-
cylindrical. The oocyst wall is thin,
delicate, homogeneous, transparent, color-
less to greyish-lavender to pale brownish
yellow, slightly thinner at the narrow end
but without a perceptible micropyle. Dur-
ing sporulation there is a parachute-shaped
cap at each end of the sporoblasts. Spor-
ulation takes 4 to 5 days. The sporocysts
are elongate and gently tapered. Neither
oocyst nor sporocyst residua are present.
A polar granule is presumably absent.
Life Cycle : Davis, Bowman and
Boughton (1957) described the life cycle of
E. alabamensis . It is unusual in being an
intranuclear parasite, occurring within
the nuclei of the epithelial cells at the tips
of the villi. Excysted sporozoites were
seen in the cytoplasm of the intestinal
epithelial cells 2 days after infection.
They enter the nuclei and round up, form-
ing schizonts. These are present as early
as 2 days after infection and are uncommon
by the 8th day. They form 16 to 32 mero-
zoites, which are slender and spindle-
shaped while still within the parent schizont
but appear short, with bluntly rounded ends
in the intracellular spaces and crypts.
Davis, Bowman and Boughton (1957) thought
that there is probably more than one gen-
eration of schizonts.
Macrogametes and microgametocytes
first appear 4 days after infection. Most
are found in the lower third of the small
intestine, but they may invade the cecum
THE TELOSPORASIDA AND THE COCCIDLA PROPER
167
and upper colon in heavy infections.
Young oocysts still in the host cell nuclei
first appear 6 days after infection. Mul-
tiple infections are common, as many as
3 schizonts or microgametocytes and 4 or
5 macrogametes or oocysts having been
found in a single host cell nucleus. This
crowding may affect the shape of the
oocysts in heavy infections, making some
of them wedge-shaped or asymmetrical.
The prepatent period in experimentally
infected calves was found by Davis, Bough-
ton and Bowman (1955) to range from 6 to
13 days with a mean of 8 to 9 days. The
patent period ranged from 1 to 10 days with
a mean of 4. 6 days in 21 low-grade infec-
tions, and from 1 to 13 days with a mean
of 7. 2 days in 72 heavy infections.
Pathogenesis : Under field conditions,
E. alabainensis is considered essentially
non- pathogenic. However, Boughton (1943)
produced clinical coccidiosis in 5 young
calves by feeding them 200 million oocysts.
Within 5 days they developed a severe
diarrhea, with yellowish feces having a
characteristic acrid odor. They become
thin, and 1 calf died on the 8th day and
another on the 14th. In the first calf the
lower half of the small intestine was hy-
peremic and there was massive tissue in-
volvement with merozoites and macro-
gametes. In the second calf there was
enteritis in only the last 3 feet of the
ileum, and only a few parasites remained
in the tissues, most of these being within
1 foot of the ileocecal valve.
Davis, Boughton and Bowman (1955)
fed two 14-month-old calves 140 million
oocysts. One became diarrheic on the
fifth day. Its feces were watery, yellow-
ish green, with some bloody mucus and a
sharp, acrid odor. The diarrhea grad-
ually subsided. In the second calf the
feces were soft toward the end of the pre-
patent period. A 7-month-old heifer which
had previously been exposed to coccidial
infection had a slight diarrhea on the 9th
and 11th days following similar exposure,
and a 2-year-old cow remained normal.
Immunity : Reinfection is considered
common in the field. Davis, Boughton and
Bowman (1955) reported that in 58 attempts
to reinfect calves 2 or more times, there
were 39 high-grade infections, 11 low-
grade infections and 8 failures. Nine of
the low-grade infections and 7 of the fail-
ures followed the third or subsequent in-
oculations. Some animals were reinfected
as many as 4 times before reinfection at-
tempts failed.
EIMERIA AUBURNENSIS
CHRISTENSEN AND PORTER, 1939
Synonym : Eimeria ildefonsoi Torres
and Ramos, 1939.
Hosts : Ox. In addition, Bohm and
Supperer (1956) reported finding this spe-
cies in a wild roe deer in Austria, but
gave no morphological information on it.
Location: Unknown. Oocysts found
in feces.
Geographic Distribution : North
America, South America (Brazil), Europe
(Austria, Spain, England).
Prevalence : E. anbiiruensis is one of
the commonest coccidia of cattle in North
America. Davis and Bowman (1952) found
it in all of 20 calves in Alabama. Hasche
and Todd (1959) found it in 45% of 355
cattle in Wisconsin. Torres and Ramos
(1939) found it in 32% of 146 cattle in Brazil.
Supperer (1952) found it in 3% of 130 cattle
in Austria. According to Lapage (1956),
Watkins found it in 91% of the calves he
examined in Devonshire.
Morphology : The oocysts have been
described by Christensen and Porter (1939)
and Christensen (1941). They measure 32
to 46 by 20 to 26 fi with a mean of 38. 4 by
23. 1 ILL. Their length-width ratios range
from 1 . 32 to 2. 08 with a mean of 1 . 67.
They are typically elongate ovoid, but vary
between sub-ellipsoidal and markedly ta-
pered. The micropyle appears as a thin,
pale area at the small end in unstained
specimens, but when stained with iodine-
eosin in physiological salt solution, a def-
inite gap covered by a narrow black line
which may be a flat operculum is seen.
168
THE TELOSPORASIDA AND THE COCCIDIA PROPER
A membrane lines the oocyst wall, which
is illustrated as composed of a single
layer. The oocyst wall is 1 to 1. 5 /i thick,
typically smooth, homogeneous, transpar-
ent and yellowish brown; relatively rarely
it may be semi-transparent and heavily
mammillated, and all gradations between
these two conditions occur. The smooth-
walled forms are more common than the
rough.
The sporulation time at room temper-
ature in Alabama is 2 to 3 days. There is
no oocyst residuum or polar granule. The
sporocysts were illustrated by Christensen
and Porter (1939) as elongate with one end
pointed. The sporozoites lie lengthwise,
head to tail, in them and contain 3 clear
globules, 1 of which may be the nucleus.
The sporocyst residuum consists of
rounded masses or individual granules be-
tween the sporozoites.
Christensen and Porter (1939) showed
that the rough and smooth forms were the
same species by infecting a calf with rough
oocysts and recovering all types, but pre-
dominantly smooth ones, from it.
Life Cycle : The endogenous stages
of this species are unknown. Christensen
and Porter (1939) found that the prepatent
period in one calf was 24 days. Large
numbers of oocysts were discharged for 3
days, and small numbers for the next few
weeks.
Pathogenesis : Christensen and Por-
ter (1939) produced a profuse, watery,
green diarrhea accompanied by slight apa-
thy in a 2-week-old calf following admin-
istration of 8000 sporulated oocysts. The
signs appeared 9 days after infection (i.e. ,
15 days before the first oocysts appeared
in the feces) and continued for 5 days.
According to Davis and Bowman (1952),
infections with E. aubiiynensis are usually
accompanied by straining and the passing
of visible blood and mucus, especially
following experimental inoculation with
large numbers of oocysts or in natural
outbreaks where contamination is heavy.
EIMERIA BOVIS
(ZUBLIN, 1908)
FIEBIGER, 1912
Synonyms : Coccidium bovis,
Elmer ia canadensis (pro parte), Eimcria
smithi, Eimeria thianelhi, Globidiiiiii
fusiformis (?).
Hosts : Ox, zebu, water buffalo.
Wilson (1931) was unable to infect pigs or
goats with this species.
Location : The schizonts are mostly
in the small intestine and the sexual stages
in the cecum, colon and terminal ileum.
Geographic Distribution : Worldwide.
Prevalence : This is one of the com-
monest coccidia of cattle. Boughton (1945)
found it in 41% of 2492 bovine fecal samples
in south-eastern U.S. Hasche and Todd
(1959) found it in 41% of 355 cattle in Wis-
consin. Supperer (1952) found it in 66% of
130 cattle in Austria. Cordero del Cam-
pillo (1960) reported it and other bovine
species in Spain. Torres and Ramos (1939)
found it in 49% of 136 cattle in Brazil.
Yakimoff, Gousseff and Rastegaieff (1932)
found it in 40% of 126 cattle in Uzbekistan.
Yakimoff (1933) found it in 47% of 17 zebus,
23% of 30 water buffaloes and 39% of 44
cattle in Azerbaidzhan. Marchenko (1937)
found it in 54% of 137 cattle in the North
Caucasus. Rao and Hiregaudar (1954)
stated that it is common in Bombay State,
India. Ruiz (1959) found it in 7% of 100
adult cattle in the San Jose, Costa Rica
abattoir.
Morphology : The oocysts of £. bovis
were described by Christensen (1941).
Five hundred oocysts measured 23 to 34
by 17 to 23 n with a mean of 27. 7 by 20. 3 ji .
Their length-width ratios ranged from 1. 1
to 1 . 8 with a mean of 1 . 37. They are typ-
ically stoutly ovoid and somewhat blunted
across the narrow end, but vary consider-
ably in shape, especially in heavy infec-
tions, subellipsoidal, asymmetrical and
elongated, tapered oocysts also occurring.
THE TELOSPORASTDA AND THE COCCIDIA PROPER
169
The micropyle is a lightened area at the
small end. The oocyst wall is smooth,
homogeneous, transparent, pale cloudy,
greenish brown to yellowish brown, and
slightly thinner toward the micropylar end.
The wall is not so delicate as that of E.
alaba))ieiisis. It is darker than that of E.
alabai)ieiisis and lighter than that of E.
aubnriiensis. Christensen (1941) illus-
trated the wall as composed of a heavy
inner layer and a very thin, transparent
outer layer, but he did not mention layers
in his description. An oocyst residuum
and polar granule are absent. A sporocyst
residuum is present.
The sporulation time is 2 to 3 days.
Life Cycle : Hammond et al. (1946)
described the endogenous stages of the
life cycle of E. bovis in detail. There is
a single asexual generation. The sporo-
zoites invade the endothelial cells of the
lacteals of the villi in the posterior half
of the small intestine. These cells be-
come detached from the lacteal lining and
lie free and greatly swollen in the lumens
of the lacteals. The schizonts are first
found 5 days after infection. They grow to
giant size, becoming mature 14 to 18 days
after infection. A few may still be found
as long as 30 days after inoculation, but
most of these are degenerate. The mature
schizonts measure 207 to 435 by 134 to
267 jLi with a mean of 281 by 303 ji and con-
tain 55,000 to 170,000 (mean, 120,000)
merozoites. They are easily visible to
the naked eye as whitish balls, and their
presence was first pointed out by Boughton
(1942) as a macroscopic lesion which could
be used in diagnosing coccidiosis.
The merozoites are 9 to 15jj, (mean,
11.6jLi) long and about 2/i wide. They are
rounded at one end and taper abruptly to a
point at the other. The nucleus is near
the pointed end.
The sexual stages usually occur only
in the cecum and colon, but in heavy in-
fections they may be found in the terminal
3 or 4 feet of the small intestine. They
occur in the epithelial cells of the intes-
tinal glands. The cells at the base of the
glands are invaded first, and later the
rest of the gland becomes involved. The
first sexual stages appear 17 days after
inoculation. The macrogametes contain
plastic granules in their cytoplasm, there
being 1 layer of small granules near the
surface and a less distinct layer of larger
granules beneath it. Fertilization was not
seen, but 2 stages in the union of nuclei
were seen before formation of the oocyst
wall.
According to Walton (1959), the hap-
loid number of chromosomes in E. bovis
is 2.
Oocysts appear 16 to 21 days after
experimental infection. Large numbers
are discharged for 5 to 7 days, and
smaller numbers are present in the feces
for 2 to 3 weeks. In 28 calves studied by
Senger et al. (1959), oocysts were dis-
charged for 7 to 15 days with a mean of
11.5 days.
Pathogenesis : E. bovis is one of the
2 most pathogenic of the bovine coccidia.
Hammond, Davis and Bowman (1944)
studied its effects in experimentally in-
fected calves. An infective dose of
125,000 oocysts or more was generally
needed to cause marked signs. These
appeared about 18 days after infection,
and consisted of diarrhea and/or bloody
diarrhea, tenesmus, and temperatures as
high as 106. 6° F. One of 4 calves given
125,000 oocysts become moribund due to
coccidiosis, while single calves given
250, 000 to 1, 000, 000 oocysts all died or
became moribund 24 to 27 days after in-
fection.
The most severe pathologic changes
occur in the cecum, colon and terminal
foot of the ileum. They are due to the
sexual stages of the coccidia. At first
the mucosa is congested, edematous
and thickened, with petechiae or diffuse
hemorrhages. Its lumen may contain a
large amount of blood. Later, the mucosa
is destroyed and sloughed, and a patchy
or continuous membrane forms over its
surface. The sub mucosa may also be
destroyed. If the animal survives,
both mucosa and submucosa are later
replaced.
170
THE TFLOSPORASIDA AND THE COCCIDLA PROPER
Immunity : Senger et a I. (1959) found
that inocula of 10, 000, 50, 000 or 100, 000
oocysts of E. bovis produced a good deal
of immunity to reinfection. The immunity
developed rapidly, calves being resistant
to challenge 14 days after immunization.
Immunity persisted to a moderate degree
for 2 to 3 months in young calves, and in
one group of yearlings there was appar-
ently a high degree of immunity 7 months
after the last inoculation. An inoculum
of 10,000 oocysts did not produce as great
an immunity as 50,000 or 100,000 oocysts;
there was no significant difference in the
degree of immunity produced by the higher
doses. All these immunizing doses caused
diarrhea and bloody feces; the greater the
number of oocysts administered, the more
severe and longer-lasting the resultant
disease.
Hammond el al. (1959) found that this
immunity was not directed against the
schizonts but against the sexual stages or
merozoites. They found no significant
differences in numbers or size of schi-
zonts between immunized and non-immu-
nized calves, but the latter had many more
sexual stages than the former.
Remarks : Hassan (1935) described
the sporozoites and schizonts of an organ-
ism which he named Globidium fiisiformis
from 5 zebus with dysentery and rinder-
pest in India. The schizonts were found
in the abomasum, duodenum and ileum;
they often occurred anterior to the ileo-
cecal valve, but were not found in the
large intestine. They were whitish and
measured 0. 4 to 1. by 0. 8 mm. The
merozoites were elongate, spindle-
shaped, slightly curved-, with one end
bluntly rounded and the other finely
pointed, 13 by 2 to 2. 5 /i . This form may
well be Eimeria bovis. However, the
fact that schizonts were found in the abo-
masum as well as in the small intestine
made Hammond et al. (1946) hesitate to
assign it to this species, since they never
found schizonts of E. bovis in the abo-
masum.
EIMERLi BRASILIENSIS
TORRES AND RAMOS, 1939
Synonyms : Eimeria boehmi Supperer,
1952; Eimeria orlovi Basanov, 1952.
Hosts : Ox, zebu. In addition, Bohm
and Supperer (1956) reported finding this
species in several chamois in Austria,
but gave no morphological information on
which a comparison could be based.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : North Amer-
ica, South America (Brazil), Europe(Aus-
tria), Africa (Nigeria), USSR (Kazakhstan).
Prevalence : Davis and Bowman (1952)
stated that this species is uncommon in
Alabama. Hasche and Todd (1959) found
it in 6% of 927 cattle in Wisconsin. Torres
and Ramos (1939) found it in 3% of 146
cattle in Brazil. Supperer (1952) found it
in 7% of 130 cattle in Austria. Lee and
Armour (1958) saw it frequently in cattle
in Nigeria. Basanov (1952) found it in
Kazakhstan, USSR.
Morphology : The oocysts are ellip-
soidal, colorless to yellowish or pinkish,
smooth, 31 to 49 by 22 to 33 ji, with a
mean of 36 to 38 by 26 to 27 j^. The oocyst
wall is composed of a single layer. The
micropyle is 5 to 6^ in diameter, and is
covered by a micropylar cap 8 to 12 [^ wide
and 1. 5 to 3 (i high; this cap tends to col-
lapse on storage in unprepared feces in
the refrigerator. An oocyst polar granule
is present. An oocyst residuum is absent.
The sporocysts are elongate ovoid (with a
fine "operculum", according to Torres and
Ramos), 16 to 22 by 7 to 9 1^ (Supperer).
A sporocyst residuum is present.
The sporulation time is 6 to 7 days at
27° C (Lee and Armour, 1958) or 12 to 14
days at 20° C (Supperer, 1952).
Life Cycle : Unknown.
Pathogenesis : Unknown.
THE TELOSPORASIDA AND THE COCCIDLA PROPER
171
EIMERIA BUKIDNONENSIS
TUBANGUI, 1931
Synonyms : Eimeria ivyomingensis
Huizinga and Winger, 1942; Eimeria
khurodensis Rao and Hiregaudar, 1954.
Hosts : Ox, zebu.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : North
America, Philippines, USSR, Africa
(Nigeria), South America (Brazil).
Prevalence : This species is rela-
tively uncommon. Baker (1938, 1939) and
Christensen (1938) reported it in a heifer
in New York, Christensen (1941) found it
infrequently in Alabama, Huizinga and
Winger (1942) found it in 10 cattle in
Wyoming, and Hasche and Todd (1959)
found it in 5% of 355 cattle in Wisconsin.
Tubangui (1931) found it in 1 of 28 zebus
in the Philippines. Yakimoff, Gousseff
and Rastegaieff (1932) found it in 2 of 126
oxen in Uzbekistan. Yakimoff (1933) found
it in 2 of 17 zebus and 1 of 41 oxen in
Azerbaidzhan. Marchenko (1937) found it
in 0. 7% of 137 cattle from the North Cau-
casus. Yakimoff (1936) found it in 1 of 49
cattle in Brazil, Torres and Ramos (1939)
reported it from 8% of 146 cattle in Brazil.
Lee (1954) found it in a Fulani calf (zebu)
in Nigeria.
Morphology : The oocysts are piri-
form, yellowish brown to dark brown, 33
to 54 by 24 to 35jj,. Their length-width
ratio is 1. 3 to 1.8 with a mean of about
1. 4. The oocyst wall is about 2 to 4 jj.
thick except at the micropylar end, where
it is thin. It is composed of 2 layers (3
according to Yakimoff, 1933), the outer
one thick and the inner one a tough mem-
brane. Tubangui (1931), Yakimoff (1933),
and Lee (1954) described the wall as
radially striated, but the only American
author to note this feature was Baker
(1939). The oocyst wall is speckled, and
rather rough. The micropyle is conspic-
uous, 3. 5 to 7jLj, in diameter. An oocyst
residuum and polar granule are absent.
The sporocysts are elongate lemon-shaped.
14 to 22 by 9 to 12 |j.. A Stieda body is
possibly present. Definite sporocyst res-
idual material is absent. The sporozoites
were described by Tubangui as more or
less roundish or reniform and illustrated
without refractile globules. According to
Huizinga and Winger, refractile globules
are prominent, and it is possible that
Tubangui mistook these for the sporozoites
proper.
Rao and Hiregauder (1954) described
a new species, E. khurodensis , from zebus
in India. It failed to sporulate, and there
is nothing in their description which differs
from that of E. biikidnonensis.
The sporulation time is 4 to 7 days
according to Christensen (1941), 5 to 7
days according to Huizinga and Winger
(1942), 24 to 27 days according to Baker
(1939).
Life Cycle : Unknown. Baker (1939)
found that oocysts first appeared in an ex-
perimentally infected calf on the 10th day.
Pathogenesis : Baker (1939) observed
a tendency toward a diarrheic condition
from the 7th to 15th days after experi-
mental infection of a 70-day old calf with
55 oocysts.
EIMERIA CANADENSIS
BRUCE, 1921
Synonyms : Eimeria zurnabadensis .
Hosts : Ox, zebu.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : North Amer-
ica, USSR (Azerbaidzhan).
Prevalence : This species is quite
common in the United States. Hasche and
Todd (1959) found it in 35% of 355 cattle in
Wisconsin.
Morphology : This species has been
described by Christensen (1941). The
oocysts are 28 to 37 by 20 to 27 jm with a
172
THE TELOSPORASIDA AND THE COCCIDIA PROPER
mean of 32. 5 by 23.4 /i. Their length-
width ratio is 1 . 2 to 1 . 6 with a mean of
1. 39. They are typically ellipsoidal, but
vary from nearly cylindrical to stoutly
ellipsoidal and occasionally slightly ta-
pered. The oocyst wall is transparent,
about 1 fi thick in the middle, slightly
thinner at each end, delicately yellowish
brown (paler toward the ends), normally
smooth, and apparently composed of a
single layer lined by a membrane. The
micropyle is an inconspicuous gap in the
wall at one end, appearing covered with a
thin, dark refraction line. An oocyst
residuum and polar granule are absent.
The sporocysts were not described by
Christensen (1941). The sporulation time
is 3 to 4 days.
Life Cycle : Unknown.
Pathogenesis : Apparently slight.
EIMERIA CYLINDRICA
WILSON, 1931
Hosts : Ox, zebu. Wilson (1931) was
unable to infect pigs or goats with this
species.
Location: Unknown. Oocysts found
in feces.
a mean of 1. 67. The oocyst wall is thin,
smooth, homogeneous, transparent, color-
less to slightly tinted, and presumably
composed of a single layer. A micropyle
is absent, altho the wall is slightly paler
at one end. An oocyst residuum and polar
granule are absent. A sporocyst residuum
is present, but there is no sporocyst Stieda
body. The sporozoites are elongate, lying
lengthwise in the sporocysts and filling
them. (According to Rao and Hiregaudar,
1954, the sporocysts measure 6 to 8 by 2
to 4/i and the sporozoites are very small,
rounded bodies. ) The sporulation time is
2 days.
The oocysts of E. cylindrica intergrade
to some extent with those of E. ellipsoidalis
in size and shape, but other characters in-
dicate that they are separate species.
Life Cycle : Unknown. Wilson (1931)
found oocysts in a calf from the eleventh
to twentieth days after experimental infec-
tion.
Pathogenesis : This species appears
to be somewhat pathogenic. Wilson (1931)
observed blood in the feces of an experi-
mentally infected calf 6 days after infection.
Rao and Hiregaudar (1954) considered this
species pathogenic in zebu calves.
Geographic Distribution : North Amer-
ica, Europe (Austria), India.
EIMERIA ELLIPSOIDALIS
BECKER AND FRYE, 1929
Prevalence : This species is quite
common. Hasche and Todd (1959) found it
in 20% of 355 cattle in Wisconsin. Supperer
(1952) found it in 4% of 130 cattle in Austria.
Rao and Hiregaudar (1954) considered it
quite prevalent in zebu calves in Bombay.
Ruiz (1959) found it in 1% of 100 adult cattle
in the San Jose, Costa Rica abattoir.
Morpholog y: This species has been
described by Wilson (1931) and Christensen
(1941). The oocysts are 16 to 28 by 12 to
16^1 with a mean of about 23 by 14 (i. They
are typically cylindrical, their sides being
nearly parallel thruout their middle third,
but they may vary from ellipsoidal to nar-
row cylinders twice as long as wide. The
oocyst length-width ratio is 1. 3 to 2. with
Hosts : Ox, zebu, water buffalo.
Location: Small intestine.
Geographic Distribution : North Amer-
ica, Europe (Austria, Spain), USSR.
Prevalence : This species is common
in cattle. Boughton (1945) found it in 45%
of 2492 bovine fecal samples from south-
eastern United States and remarked that
its oocysts comprised 40 to 50% of the total
oocyst population in 959 samples from over
100 calves 3 to 12 weeks old. Christensen
(1941) found its oocysts more frequently
than those of any other species in the feces
of healthy calves in Alabama during early
natural infection. Hasche and Todd (1959)
THE TELOSPORASIDA AND THE COCCIDIA PROPER
173
found it in 43% of 355 cattle in Wisconsin.
Supperer (1952) found it in 15% of 130
cattle in A-ustria. Yakimoff, Gousseff and
Rastegaieff (1932) found it in 23% of 126
oxen in Uzbekistan. Yakimoff (1933) found
it in 27% of 41 oxen, 6% of 17 zebus and
52% of 21 water buffaloes in Azerbaidzhan.
Marchenko (1937) found it in 16% of 137
cattle in the North Caucasus. Ruiz (1959)
found it in 3% of 100 adult cattle in the San
Jose, Costa Rica abattoir.
Morphology : The oocysts have been
described by Becker and Frye (1929) and
Christensen (1941), among others. They
are 12 to 27 by 10 to 18 fi with a mean of
17 by 13|Lt. Their length- width ratio is
1 . to 1 . 6 with a mean of 1 . 30. They are
predominantly ellipsoidal, but vary in
shape from spherical to almost cylindri-
cal, the spherical and subspherical oocysts
occurring in the smaller size range. The
oocyst wall is thin, smooth, presumably
composed of a single layer, homogeneous,
transparent, colorless to pale lavender or
pale yellowish, and slightly thinner and
paler at one end, suggesting a possible
micropyie. A true micropyle is apparently
absent, however. An oocyst residuum and
polar granule are absent. A sporocyst
residuum is present. The sporocysts were
illustrated by Becker and Frye (1929) with-
out a Stieda body. The sporocysts (in the
zebu) measure 13 to 14 by 4. 5 fi according
to Yakimoff (1933). The sporozoites were
illustrated by Becker and Frye (1929) with-
out clear globules.
The sporulation time is 2 to 3 days.
Life Cycle : Unknown. The endogen-
ous stages occur in the epithelial cells of
the small intestine mucosa, according to
Boughton (1945).
Pathogenesis : According to Boughton
(1945), this species often causes nonbloody
diarrhea in calves 1 to 3 months old.
EIMERIA PELLITA
SUPPERER, 1952
Hosts: Ox.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Europe
(Austria).
Prevalence : Supperer (1952) found
this species in 5% of 130 cattle in Austria.
Morphology : This species has been
described by Supperer (1952). The oocysts
are 36 to 41 by 26 to 30)ii , ovoid, with a
flattened small end. There is a micropyle
at the small end. The oocyst wall is rel-
atively thick and dark brown. The surface
of the oocyst bears numerous small, uni-
formly distributed protuberances in the
form of small, blunt points which give the
wall a velvety appearance. An oocyst polar
granule and residuum are absent. The
sporocysts are elongate ovoid, 14 to 18 by
6 to 8|i, without a Stieda body. A sporo-
cyst residuum is present, usually compact.
The sporozoites lie lengthwise in sporo-
cysts, with 2 refractile globules. The
sporulation time is 10 to 12 days.
It is possible that E. pellita is a syn-
onym of E. bukidnonensis . However, it
differs from it in the velvety appearance
described for its oocyst wall; the oocyst
wall of E. bukidnonensis has been des-
cribed as speckled, and as a matter of fact
Supperer' s drawing of E. pellita looks
speckled, too. Other differences are that
a sporocyst residuum has not been des-
cribed in E. bukidnonensis, while E. pellita
has a prominent one, and the sporocysts of
E. bukidnonensis are somewhat pointed at
one end (with a Stieda body?), while those
of E. pellita are not.
Life Cycle : Unknown.
Pathogenesis: Unknown.
EIMERIA SUBSPHERICA
CHRISTENSEN, 1941
Hosts : Ox.
Location : Unknown. Oocysts found
in feces.
174
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Geographic Distribution :
America.
North
Prevalence:
This species is rela-
Christensen (1941)
tively uncommon,
found it in 6 calves in Alabama, never in
large numbers. Hasche and Todd (1959)
found it in 11% of 355 cattle in Wisconsin.
Morphology : This species has been
described by Christensen (1941). The
oocysts are 9 to 13 by 8 to 12 /i with a
mean of 11. by 10. 4 /J . Their length-
width ratio is 1 . 00 to 1.3 with a mean of
1.06. They are typically subspherical,
but vary from spherical to bluntly ellip-
soidal. A micropyle is absent. The
oocyst wall is thin, smooth, homogeneous,
transparent, of uniform thickness thruout,
and colorless to faintly yellowish. An
oocyst residuum and polar granule are
absent. The sporocysts are pale, spindle-
shaped, without a sporocyst residuum.
The sporulation time is 4 to 5 days.
The oocysts of this species might be
confused with the smaller, subspherical
oocysts of E. ellipsoiclalis or E. ziirnii,
but Christensen (1941) considered that
they can be differentiated by their more
fragile appearance, their more delicate
wall, and by their requiring 2 days longer
to sporulate.
Life Cycle : Unknown.
Pathogenesis: Unknown.
EIMERIA Z URN II
(RIVOLTA, 1878)
MARTIN, 1909
Synonyms : Cytospermium zurnii,
Eimeria bovis (pro parte), Eimeria cana-
densis (pro parte).
Hosts : Ox, zebu, water buffalo.
Dahlberg and Guettinger (1956) reported
E. zurnii in 2 white-tailed deer in Wis-
consin, and Salhoff (1939) reported it in a
roe deer in Germany. Wetzel and Enigk
(1936) found it in a wisent in Germany.
Honess and Winter (1956) recorded it from
the elk in Wyoming.
Location : Cecum, colon, rectum,
thruout small intestine.
Geographic Distribution : Worldwide.
Prevalence : This is one of the com-
moner coccidia of cattle. Boughton (1945)
found it in 42% of 2492 bovine fecal sam-
ples in southeastern U.S. , and Hasche and
Todd (1959) found it in 26% of 355 cattle in
Wisconsin. Supperer (1952) found it in 11%
of 130 cattle in Austria. Yakimoff, Gousseff
and Rastegaieff (1932) found it in 13% of
126 oxen in Uzbekistan. Marchenko (1937)
found it in 20% of 137 cattle in the North
Caucasus. Yakimoff (1933) found it in 18%
of 41 oxen, 6% of 17 zebus and 37% of 30
water buffaloes in Azerbaidzhan. Tubangui
(1931) found it in 3 of 28 zebus and 1 of 11
carabaos in the Philippines. Torres and
Ramos (1939) found it in 38% of 156 cattle
in Brazil. Ruiz (1959) found it in 1% of 100
adult cattle in the San Jose, Costa Rica
abattoir.
Morphology : The oocysts have been
described by Christensen (1941) among
others. They are 15 to 22 by 13 to 18 /i
with a mean of 17. 8 by 15. 6 ji . Their
length-width ratio is 1 . to 1 . 4 with a
mean of 1.14. They are spherical to
bluntly ellipsoidal, without a micropyle.
The oocyst wall is thin, homogeneous,
transparent, and colorless to faint greyish-
lavender or pale yellow. An oocyst polar
granule and residuum are absent. The
sporocysts are 9 to 12 by 6 to 7 fi according
to Yakimoff, Gousseff and Rastegaieff
(1932). A sporocyst residuum is absent.
Complete sporulation occurs in 9 to
10 days at 12° C, 6 days at 15% 3 days at
20°, 40 hours at 25° and 23 to 24 hours at
30 to 32. 5° C; a few oocysts may sporulate
at temperatures as low as 8° C in several
months, but sporulation is not normal
above 32° C (Marquardt, Senger and Seg-
hetti, 1960).
Life Cycle : The endogenous stages
of E. zuniii were described by Davis and
Bowman (1957). Schizonts are found 2 to
19 days after experimental infection in the
epithelial cells of the upper, middle and
lower small intestine, cecum and colon.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
175
When mature they measure about 10 by
13(1 and contain 24 to 36 merozoites.
They lie distal to the host cell nucleus.
Merozoites are first seen 7 days after in-
fection. They are about 5 by 12jll, have
their nucleus near the tapering end and
contain 2 refractile globules. Davis and
Bowman did not determine the number of
asexual generations, but believed that
there is more than one. The mature schi-
zonts late in the cycle are slightly larger
than the early ones.
Macrogametes are first seen 12 days
after infection. They occur in the epithel-
ial cells of the glands and to a lesser ex-
tent of the surface of the lower small in-
testine, cecum, colon and rectum, and
rarely in the upper small intestine. They
are about 11 by 14ji and contain 1 or 2
rows of plastic granules. Microgameto-
cytes are first seen 15 days after infection
in the same location as the macrogametes.
They measure about 10 by I4.fi when ma-
ture. Immature oocysts are first seen 12
days after infection.
Pathogenesis : E. ziirnii is the most
pathogenic coccidium of cattle. In acute
infections it causes a bloody diarrhea of
calves. At first the feces are streaked
with blood. The diarrhea becomes more
severe, bloody fluid, clots of blood and
liquid feces are passed, and straining and
coughing may cause this mixture to spurt
out as much as 6 to 8 feet. The animal's
rear quarters may look as tho they had
been smeared with red paint. Anemia,
weakness and emaciation accompany the
dysentery, and secondary infections, es-
pecially pneumonia, are common. This
acute phase may continue for 3 or 4 days.
If the calf does not die in 7 to 10 days, it
will probably recover.
E. zurnii may also be associated with
a more chronic type of disease. Diarrhea
is present, but there may be little or no
blood in the feces. The animals are em-
aciated, dehydrated, weak and listless,
with rough hair coats, drooping ears and
sunken eyes.
The lesions of coccidiosis have been
described by Boughton (1945) and Davis
and Bowman (1952) among others. A gen-
eralized catarrhal enteritis involving both
the small and large intestines is present.
The lower small intestine, cecum and colon
may be filled with semi-fluid, bloody ma-
terial. Large or smaller areas of the in-
testinal mucosa may be eroded and des-
troyed, and the mucous membrane may be
thickened, with irregular whitish ridges in
the large intestine or smooth, dull grey
areas in the small intestine or cecum.
Diffuse hemorrhages are present in the
intestines in acute cases, and petechia;l
hemorrhages in mild ones.
EIMERIA BOMBA YANSIS
RAO AND HIREGAUDAR, 1954
Host: Zebu.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : India.
Prevalence : Unknown. Rao and
Hiregaudar (1954) stated that its preva-
lence was great in calves in a dairy herd
near Bombay.
Morphology : The oocysts measure
32 to 40 by 20 to 25 |i with a mean of 37 by
22.4jLL. They are ellipsoidal, tending to-
ward the cylindrical, some with parallel
sides and others with 1 side straight and
the other slightly convex. The micropyle
is 2 to 4 ji in diameter, with a thickened
wall around it. The oocyst wall is smooth,
transparent, homogeneous, pale yellowish
brown, 1 to 1.5/i thick. The sporocysts
are 12 to 15(j, long, oval, with 1 end a
little more pointed than the other. An
oocyst residuum is absent, but a sporocyst
residuum is present. The sporozoites are
4 to 6 |i long. The sporulation time is 2
to 3 days.
Pathogenesis : Unknown.
EIMERIA MUNDARAGI
fflREGAUDAR, 1956
Host: Zebu.
176
THE TELOSPORASIDA AND THE COCCIDLA PROPER
J ^<:c^"
Fig. 25. Coccidia of cattle. A. Eimeria subspherica unsporulated oocyst. B. E. zurnii
unsporulated oocyst. C. E. ellipsoidalis unsporulated oocyst. D. E. cyliii-
(/>-;c(7 unsporulated oocyst. E. E. a/a/ja)(u'«s(*- unsporulated oocyst.
F. E. bukiduouensis unsporulated oocyst. G. E. 6oi7i' unsporulated oocyst.
H. E. caHarfe«s/s unsporulated oocyst. I. E. n»6io-«e«s/s unsporulated
oocyst. J. E. aiibiiniensis unsporulated oocyst with maniniillated wall.
K. Isospora sp. sporulated oocyst from cattle. L. Isospora Incazci sporu-
lated oocyst from English sparrow; note the close resemblance to Fig. K.
(A. -J., X 1150, from Christensen, 1941; K. -L. , X 2300, from Levine and
Mohan, 1960)
THE TELOSPORASIDA AND THE COCCIDIA PROPER
177
Location: Unknown. Oocysts found
in feces.
Geographic Distribution : India (Bom-
bay).
Prevalence : Hiregaudar (1956) des-
cribed this species from a single calf.
Morphology : The oocysts are ovoid,
36 to 38 by 25 to 28 ji . The oocyst wall is
0.3jn thick, slightly thicker toward micro-
pylar end, smooth, transparent, and pale
yellow or yellow. The micropyle is dis-
tinct, 0.5|j. in diameter. The sporocysts
are oval, 15 to 9 /j,, thinning at the pointed
end. The sporozoites are 4 to 6 by 1 to 3/1
and finely granular. An oocyst residuum
and polar granule are absent. A sporocyst
residuum is present. The sporulation
time is 1 to 2 days during the summer.
The extremely thin wall and the tiny, dis-
tinct micropyle may differentiate this
species from other bovine coccidia. How-
ever, the possibility must not be over-
looked that these oocysts may be those of
a species such as E. bukkliioiiensis from
which the thick, brittle outer wall has
cracked off.
Life Cycle : Unknown.
Pathogenesis: Unknown.
COCCIDIOSIS IN CATTLE
Epidemiology : Infections with a
single species of coccidium are rare in
nature; mixed infections are the rule.
Ei))ieria ziiynii and E. bovis are the most
pathogenic species, but E. auburnensis
and the other species may contribute to
the total disease picture, and some of
them may cause marked signs by them-
selves if they are present in large enough
numbers.
Bovine coccidiosis is primarily a
disease of young animals. It ordinarily
occurs in calves 3 weeks to 6 months old.
Older calves and even adult animals may
be affected under conditions of gross con-
tamination, but they are usually symptom-
less carriers.
Calves become infected by ingesting
oocysts along with their feed or water.
The severity of the disease depends upon
the number of oocysts they receive. If
they get only a few, there are no symptoms,
and repeated infections produce immunity
without disease. If they get more, the
disease may be mild and immunity may
also develop. It they get a large number,
severe disease and even death may result.
Crowding and lack of sanitation greatly
increase the disease hazard. Successive
passage of coccidia from one animal to
another often builds up infection to a patho-
genic level, since in each passage the re-
cipient receives more oocysts than in the
previous one. This is the reason for the
common observation that calves placed in
a lot where others are already present may
suffer more from coccidiosis than those
which were there first. This successive
passage from a carrier to a symptomless
"multiplier" to a sub-clinical case to a
fatal case was described by Boughton
(1945) as typical of the transmission of
bovine coccidiosis. In addition, it is
likely that recycling by repeated infections
of a single individual may also play an im-
portant part.
A little -understood type of bovine
coccidiosis is winter coccidiosis. This
occurs when it is so cold that oocyst spor-
ulation should be minimal if it occurs at
all. Presumably there is enough heat in
the bedding to permit sporulation. Another
explanation which has been advanced is
that the stress of winter conditions exacer-
bates a latent infection. This explanation
is not easy to validate, however, in view
of the self-limiting nature of coccidial
infections.
Davis, Herlich and Bowman (1959,
1959a, 1960, 1960a) found that concurrent
infections of cattle with the nematodes,
Trichostrotigylus colubrifonnis or Coop-
eria punctata, exacerbated the effects of
coccidia in calves, but that Ostertagia
ostertagi and Strongyloides papillosus had
no such effect.
Diagnosis : Bovine coccidiosis can
be diagnosed from a combination of history,
178
THE TELOSPORASIDA AND THE COCCIDIA PROPER
signs, gross lesions at necropsy and mi-
croscopic examination of scrapings of the
intestinal mucosa and of feces. Diarrhea
or dysentery accompanied by anemia,
weakness, emaciation and inappetance are
suggestive of coccidiosis in calves. Sec-
ondary pneumonia is often present. The
lesions found at necropsy have already
been described.
Microscopic examination is necessary
to determine whether the lesions are due
to coccidia or to some other agent. How-
ever, diagnoses will often be missed if
one relies only on finding oocysts in the
feces. There may be none there at all in
the acute stage of zurnii coccidiosis.
Similarly, the mere presence of oocysts
in the feces is not proof that coccidiosis
is present; it may be coccidiasis. To be
sure of a diagnosis, scrapings should be
made from the affected intestinal mucosa
and examined under the microscope. It is
not enough to look for oocysts, however,
but schizonts, merozoites and young gam-
etes should be recognized.
Treatment: A number of investigators
(Boughton, 1943; Boughton and Davis,
1943; Davis and Bowman,- 1952, 1954;
Hammond et al . . 1956; Senger et al. . 1959)
have found that the sulfonamides have some
value against bovine coccidiosis.
Other types of compounds which are
used in avian coccidiosis are unsatisfac-
tory. For example, Hammond el al. (1957)
found that nicarbazin was effective in pre-
venting experimental coccidiosis due to
E. bovis in calves only at doses which
were toxic to the animals. Gardner and
Wittorff (1955) found that 0. 1 to 0. 3%
furacin in the ration was toxic to dairy
calves, causing nervous signs and reducing
or preventing weight gains. Even 0.01%
of the drug had some toxic effect. It in-
jures the myelin sheaths and causes cere-
bral damage.
Gasparini, Roncalli and Ruffini (1958)
claimed that drenching with 4 g per 100 kg
ammonium sulfate plus 2 ml lactic acid in
a liter of milk twice a day for 4 consecu-
tive days cured coccidiosis due to E. zurnii
in 2 herds of cattle in Italy, They believed
that the ammonium sulfate worked by re-
leasing ammonia, and added the lactic acid
to prevent release from taking place in the
stomach. However, their work was im-
properly controlled, and the efficacy of
this compound remains to be determined.
Sulfamethazine and sulfamerazine ap-
pear to be better than sulfaquinoxaline or
other suKonamides. They are only par-
tially effective, however. They do not
prevent the diarrhea, but they do reduce
the severity of the disease. Thus, Davis
and Bowman (1954) found that sulfametha-
zine reduced the severity of experimental
infections with E. ziirnii or mixed species
in calves and that treated calves gained
slightly more weight than the controls.
Drug treatment was started before infec-
tion, and no immunity to subsequent expo-
sures was produced. Hammond cl al.
(1956) found that sulfamerazine or sulfa-
quinoxaline, given to calves at the rate of
0. 143 g per kg body weight for 2 days and
0. 072 g per kg for 2 more days, decreased
the severity of coccidiosis due to E. bovis
if they were administered between 13 and
17 days after experimental infection.
They were not effective earlier or later
than this. The drugs presumably act on
the merozoites after their release from
the schizonts. Senger el al. (1959) found
that a mixture of equal parts sulfamerazine
and sulfamethazine given by mouth at the
rate of 213, 143 and 70 mg per kg body
weight 13, 14 and 15 days, respectively,
after inoculation reduced the severity of
the disease and did not interfere with the
development of immunity.
Hammond el al. (1959) found that a
single treatment with 0. 215 g per kg sulfa-
methazine or sulfabromomethazine 13 days
after experimental inoculation with E. bovis
effectively controlled coccidiosis. Admin-
istration of either compound on alternate
days at the rate of 0.0215 g per kg for as
short a period as 10 to 18 days after inoc-
ulation also effectively controlled coccid-
iosis, while in 1 experiment treatment at
this rate 12 and 14 days after inoculation
suppressed the disease. This treatment
did not interfere with the development of
immunity.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
179
Since the sulfonamides are generally
only partially effective, preventive mea-
sures are more important than curative
ones.
Prevention : Sanitation and isolation
are effective in preventing coccidiosis.
Beef calves should be dropped and kept on
clean, well drained pastures. Overstock-
ing and crowding should be avoided. Feed
and water containers should be high enough
to prevent fecal contamination. Feed lots
should be kept dry and should be cleaned
as often as possible. Concrete or small
gravel are preferable to dirt.
Dairy calves should be isolated within
24 hours after birth and kept separately.
Individual box stalls which are cleaned
daily may be used. Slat-bottom pens are
also effective and require less cleaning.
Allen and Duffee (1958) described a simple,
raised, wooden home-made stall with a 4
by 2-1/2 foot slatted floor in which dairy
calves can be raised separately for the
first 3 months. Davis (1949) and Davis
and Bowman (1952) described a 5 x 10 x 3
foot outdoor portable pen which can be
moved to a fresh site once a week and thus
eliminates the need for cleaning. It is
made primarily of net wire and 1x4 lum-
ber, with a removable roof and siding at
one end. The pens should not be returned
to the same ground for a year.
These methods will not eliminate all
coccidia, but they will prevent the calves
from picking up enough oocysts to harm
them. In addition, they will greatly reduce
lice, helminth parasites, pneumonia,
white scours and other diseases.
The unsporulated oocysts of E. zurnii
are killed by sunlight in 4 hours or by dry-
ing at 25% relative humidity or below in
several days. They are not harmed by
freezing at -7 to -8° C for as long as 2
months, and half of them survive as long
as 5 months; at -30 °C, however, only 5%
survive 1 day. The oocysts are killed by
10"^ M mercuric chloride, 0.05 M phenol,
0. 25 M formaldehyde, 1. 25% sodium hypo-
chlorite, or 0. 5% cresol (Marquardt, Sen-
ger and Seghetti, 1960).
EIMERIA AHSATA
HONESS, 1942 emend.
Synonym : Eimeria ah-sa-ia Honess,
1942.
Hosts : Sheep, Rocky Mountain big-
horn sheep.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : North Amer-
ica (Wyoming, Alabama).
Prevalence : Unknown.
Morphology : The oocysts are ellip-
soidal and faint pink. The oocyst wall is
faint straw-colored and lined by a mem-
brane. A micropyle and micropylar cap
are present. Oocysts from the bighorn
sheep are 30 to 40 by 20 to 30|Lt with a
mean of 32. 7 by 23. 7 |j, ; their length- width
ratio is 1.1 to 1.8 with a mean of 1 . 40;
the micropylar cap is 0. 4 to 4. 2 jn high and
2. 1 to 12. 5)n wide with a mean of 2. 1 by
l.^li. Oocysts from domestic sheep are
29 to 37 by 17 to 28 ^i with a mean of 33.4
by 22.6ju; their length-width ratio is 1.2
to 1 . 8 with a mean of 1 . 48; the micropylar
cap is 1.7 to 4. 2/i high and 5. 9 to 13. 4jj,
wide with a mean of 3. by 8. 4 |_i . An
oocyst residuum is present in some oocysts.
Oocyst polar (?) granules are almost al-
ways present. The sporocysts are 15.4
by 7. 8jj. and have a sporocyst residuum.
This species is difficult to distinguish
from E. arlouigi, and Morgan and Hawkins
(1952) and Lotze (1953) considered it of
doubtful validity. However, Smith, Davis
and Bowman (1960) rediscovered it in Ala-
bama and confirmed its distinctiveness.
Life Cycle : Unknown. The prepatent
period is 18 to 20 days according to Smith,
Davis and Bowman (1960).
Pathogenesis : Smith, Davis and Bow-
man (1960) considered this the most patho-
genic of all sheep coccidia. They produced
fatal infections in 4 out of 9 lambs 1 to 3
months old by feeding 100, 000 oocysts.
180
THE TELOSPORASIDA AND THE COCCIDIA PROPER
The intestines of infected lambs had thick-
ened, somewhat edematous areas in the
upper part. The Peyer's patches and the
last 8 to 10 inches of the small intestine
above the ileocecal valve were inflamed.
EIMERIA ARLOINGI
(MAROTEL, 1905)
MARTIN, 1909
Hosts : Sheep, goat. Rocky Mountain
bighorn sheep, Ovis »iusl)>ioii, O. polii.
Copra ibex, Hemmilragus jenilaicus, roe
deer.
Location : Small intestine.
Geographic Distribution : Worldwide.
Prevalence: This is probably the
most common coccidium in sheep. Chris-
tensen (1938a) found it in 90% of 100 sheep
from Idaho, Maryland, New York and
Wyoming. Balozet (1932) found it in 52%
of 63 sheep and 56% of 41 goats in Tunisia.
Jacob (1943) found it in 58% of 100 sheep
and 18% of 11 goats in Germany. Svanbaev
(1957) found it in 52% of 302 sheep and 52%
of 48 goats in Kazakhstan.
Morphology : The oocysts are usually
elongate ellipsoidal, but are sometimes
asymmetrical, with one side curved more
than the other, or slightly ovoid. They
are 17 to 42 by 13 to 27 /i with a mean of
27 by 18/i; their length-width ratio is 1. 1
to 1.9 with a mean of 1.49 (Christensen,
1938a). The oocyst wall is 1.0 to 1. 5 fi
thick, transparent, almost colorless to
yellowish-brown, and composed of 2
layers, the outer one being half as thick
as the inner, according to Christensen
(1938a). The oocyst wall is apparently
lined by a membrane. A micropyle 2 to
3(1 in diameter is present. A micropylar
cap is present; it varies from an incon-
spicuous, flat structure to a prominent,
transparent, pale yellow to yellowish-
green rounded cone or crescent, 0.2 to
2[x high by 3 to 8 fi wide with a mean of
1.2 by 5/i. This cap is a tough, lid-like
structure which is easily dislodged and
may be lost in some specimens. An
oocyst residuum is absent. An oocyst
polar granule is present according to
Balozet (1932). The sporocysts are ovoid,
13 by 6/1. A sporocyst residuum is pres-
ent. The sporulation time is 1 to 2 days
(Christensen, 1938a) to 3 to 4 days (Balo-
zet, 1932).
Life Cycle : Lotze (1953a) studied the
life cycle of E. arloiiigi in experimentally
infected lambs. The sporozoites emerge
from the oocysts in the small intestine,
enter the crypts of Lieberkuehn, and pene-
trate thru the tunica propria into the in-
terior of the villi. Here they enter the
endothelial cells lining the central lacteals
and grow. The host cell also grows, and
its nucleus becomes very large. There is
apparently only 1 generation of schizonts
and merozoites. The schizonts become
mature 13 to 21 days after infection. At
this time they are about 122 to 146 /i in
diameter and contain a large number
(probably millions) of merozoites about
9/i long and 2 /i wide.
The merozoites break out of the schi-
zonts and enter the epithelial cells of the
small intestine. Sometimes only a small
group of cells at the bottom of the crypts
is parasitized, but in heavy infections
practically all the epithelial cells of the
villi are invaded. The infected villi are
enlarged and greyish. Some of these
merozoites become microgametocytes;
these form many microgametes, leaving
a large mass of residual material. Most
of the merozoites become macrogametes,
which contain large plastic granules when
mature.
Following fertilization, the macro-
gametes turn into oocysts, which break
out of the host cells and are first seen in
the feces on the 20th day after infection.
Their numbers increase for about 5 days
and then decrease at about the same rate
for the next 5 days. Thus the prepatent
period is 19 days and the patent period
about 10 days following a single exposure.
Pathogenesis : Lotze (1952) studied
the pathogenicity of E. arloiiigi in 3-
month-old lambs experimentally infected
with 200,000 to 60 million oocysts. No
visible signs were produced by infections
THE TELOSPORASIDA AND THE COCCIDIA PROPER
181
with 1 million oocysts or less. In lambs
infected with 3 or 5 million oocysts, the
feces became soft on the 13th day and then
returned to normal during the next 6 days.
The health, general condition and weight
gains of these animals were not affected.
Severe diarrhea was produced with
higher doses, but none of the animals
died altho one was killed in extremis. In
general, the experimentally infected lambs
appeared normal up to the 13th day after
inoculation, when their feces became soft.
In the more heavily infected lambs the
feces then became watery, and diarrhea
was severe beginning on the 15th day.
Blood-tinged mucus was passed by affected
lambs only occasionally. The feces began
to return to normal on the 17th day and
were usually nearly normal by the 20th
day. Lambs with marked diarrhea be-
came weak and refused feed.
At necropsy, only a few small,
slightly hemorrhagic areas scattered
thruout the lining of the small intestine
were seen up to the 13th day. From the
13th to 19th days the small intestine was
more or less thickened and edematous,
and thick, white opaque patches made up
of groups of heavily parasitized villi were
present.
The villi containing the schizonts be-
come thin-walled sacs and are presumably
destroyed. The sexual stages are clus-
tered in the epithelial cells of the villi
and destroy these cells when they emerge.
However, they do not do as much damage
'as the asexual stages, since the condition
of affected animals appears to improve
before oocysts are shed.
E. arloingi is less pathogenic than
E. ninakohlyakimovae .
Epidemiology : This species has
been reported not only from domestic
sheep and goats but also from the Rocky
Mountain bighorn sheep [Ovis canadensis),
moufflon (O. musimon), argali (O. animon
polii), ihex {Capra ibex), and Hem )nitra-
gus jemlaicus (see especially Yakimoff,
1933a). Ullrich (1930) found it in the roe
deer. Whether the forms from all these
animals are really E. arloingi remains to
and cross-transmission experiments.
According to Lotze (1953), no cross-trans-
mission studies, even between domestic
sheep and goats, have been reported up un-
til the time of his paper, and he attempted
none.
EIMERIA CRANDALLIS
HONESS, 1942
Hosts : Sheep, Rocky Mountain big-
horn sheep. This species was originally
described from the bighorn sheep, but
Hawkins (in Morgan and Hawkins, 1952)
found it in domestic sheep.
Location: Unknown. Oocysts found
in feces.
Geographic Distribution : North
America (Wyoming, Michigan).
Prevalence : Unknown.
Morphology : The oocysts are spher-
ical to broadly ellipsoidal to ovoid, color-
less to faint pink or greenish, and are 17
to 23 by 17 to 22 jj. with a mean of 21. 9 by
19.4|ji. Their length-width ratio is 1.00
to 1. 35 with a mean of 1. 11. A micro-
pyle and micropylar cap are present. The
micropylar cap measures from a trace to
1 . 7 |i high and 3. 3 to 6. 6 /ji wide with a
mean of 0. 8jj, high and 4. 9fi wide. The
oocyst wall has a distinctly demarcated
outer edge, a feature which Honess (1942)
considered to distinguish this species
from E. arloingi. The sporocysts are 8
to 11 by 5 to 8 fj. with a mean of 9. 5 by
6. 4|i . No information is available on
oocyst polar granule, oocyst residuum or
sporocyst residuum.
Lotze (1953) considered that this spe-
cies was of doubtful validity, since its
oocysts fall into the size range of E.
arloingi. but Morgan and Hawkins (1952)
accepted it, stating that Hawkins had found
that its peak of infection in Michigan oc-
curred at a different time from that of E.
arloi)igi.
Life Cycle : Unknown.
Pathogenesis : Unknown.
182
THF TFLOSPORASIDA AND THF COCCrDIA PROPER
EIMERIA FAUREI
(MOUSSU AND MAROTEL, 1902)
MARTIN, 1909
Synonym : Einieria aemula.
Hosts : Sheep, goat. Rocky Mountain
bighorn sheep, Ovis amnion polii, O.
musinion, O. orienlalis. Capra ibex,
Rupicapra rupicapra (chamois), Ammotra-
gus lervia {Barbary sheep).
Location : Small intestine.
Geographic Distribution : Worldwide.
Prevalence : This species is fairly
common. Christensen (1938a) found it in
11% of 100 sheep from Idaho, Maryland,
New York and Wyoming. Balozet (1932)
found it in 21% of 63 sheep and 2% of 41
goats in Tunisia. Jacob (1943) found it in
40% of 100 sheep and 18% of 11 goats in
Germany. Svanbaev (1957) found it in 43%
of 302 sheep and 40% of 48 goats in Kozak-
hstan.
Morphology : The following descrip-
tion is based primarily on those of Chris-
tensen (1938a) and Balozet (1932). The
oocysts are ovoid, 25 to 35 by 18 to 24|i ,
with a mean of 28. 9 by 21. Oj^t according to
Christensen or 31. 5 by 22. 1 ju. according
to Balozet. The oocyst wall is transparent,
delicate salmon pink to pale yellowish
brown, 1 ^ thick at the most according to
Balozet; with a faint, yellowish-green
"external coat . . . about half as thick as
wall" according to Christensen. The mi-
cropyle is conspicuous, 2 to 3fi in diam-
eter, at the small end. A micropylar cap
is absent. An oocyst polar granule was
illustrated by Balozet (1932). Oocyst and
sporocyst residua are absent. The sporu-
lation time is 1 to 2 days according to
Christensen, 3 to 4 days according to
Balozet.
Life Cycle : The life cycle of E.
faitrei does not seem to have been worked
out in detail. According to Lotze (1953),
its schizonts are about 100 (i in diameter
and contain thousands of merozoites.
Pathogenesis :
mildly pathogenic.
This species is only
Lotze (1954) found
that single infections of 3-month-old lambs
with 5 million oocysts produced only a tem-
porary softening of the feces without signifi-
cantly affecting the general health or physical
condition of the animals, and infections with
50 million oocysts failed to cause death.
Epidemiology : This species has been
reported not only from the domestic sheep
and goat but also from the Rocky Mountain
bighorn sheep (Ovis canadensis), moufflon
(O. am))2on), urial or shapo (O. orienlalis),
Barbary sheep [Amniulragus lervia), ibex
(Capra ibex) and chamois (Rupicapra rupi-
capra) (see especially Yakimoff, 1933).
Whether the forms from these species are
all E. fanrei remains to be proven by care-
ful study of their oocysts and cross-trans-
mission experiments. According to Lotze
(1953), no cross-transmission studies,
even between domestic sheep and goats,
had been reported up until the time of his
paper, and he attempted none.
EIMERIA GILRUTHI
(CHATTON, 1910)
REICHENOW AND CARINI, 1937
Synonyms : Gastrocystis gilruthi,
Globidimn gilruthi.
Hosts : Sheep, goat.
Location : Abomasum, seldom small
intestine.
Geographic Distribution : Worldwide.
Prevalence : This form is very com-
mon in Europe. Chatton (1910) and Triffitt
(1928) found it in the abomasa of almost all
the sheep they examined in France and Eng-
land, respectively. Alicata (1930) found it
in 9% of 78 sheep in Indiana, 11% of 101
sheep from West Virginia and 8% of 72 sheep
from Idaho. It has also been seen in Mon-
tana, Wyoming, Michigan (Morgan and
Hawkins, 1952) and Illinois. Sarwar(1951)
found it in 34% of the sheep and goats
slaughtered at the Lahore, Pakistan abattoir,
and found it in as many as 94% in other parts
of East Punjab. Soliman (1958) found it in
18% of 250 sheep and 28%. of 150 goats
slaughtered in Egypt. Soliman (1960) found
it in 32% of 425 sheep and 40% of 240 goats
THE TELOSPORASIDA AND THE COCCIDIA PROPER
183
in the Sudan. Rac and Willson (1959) re-
ported it in Australia.
Morphology : Only the schizonts and
merozoites of this form have been des-
cribed. The schizonts occur in the con-
nective tissue of the abomasal wall. They
are 300 to 700 ^i long and 300 to 465 |i wide,
and are easily visible to the naked eye as
whitish nodules. The host cell nucleus is
flattened and greatly enlarged. The ma-
ture schizonts are filled with many thou-
sands of crescent-shaped merozoites
about 4. 5 to 7. 5 ;i long and 1. 2 to 2. Opt
wide. One end of the merozoites is
rounded and the other pointed. The nucleus
is near the broad end, and a heavily stain-
ing granule is in the center.
These schizonts are undoubtedly
those of a species of Eimeria presently
known from its oocysts alone, but we do
not know which species it is. Reichenow
(1940) said that it was very probably E.
intricata. Becker (1956) agreed and, since
the specific name gilrnthi has priority,
synonymized E. intricata with it. How-
ever, Kotlan, Pelle'rdy and Verse'nyi
(1951, 1951a) found two types of giant
schizonts in sheep. One type, which
measured 64 to 256 by 48 to 179/i and con-
tained straight, slender merozoites 10 to
12 |i long, they found to be those of E.parva.
The other type of schizont was larger and
contained merozoites about 16 fx long which
were bent like a hoe at one end ("hacken-
formigen"). These they said were those
ofE. intricata. However, they saw both
schizonts in the small intestine and not in
the abomasum, and they used only 2 lambs
in their work. Hence, it is felt best for
the present not to attempt to assign the
gilruthi schizonts to any other species of
Eimeria.
Geographic Distribution:
America, Europe (Germany).
North
Prevalence : This species is rela-
tively uncommon in sheep. Christensen
(1938a) found in in 10% of 100 sheep from
Maryland and New York. Jacob (1943)
found it in 1% of 100 sheep in Germany.
Honess (1942) remarked that it was more
frequent and numerous in bighorn sheep
than in domestic sheep in Wyoming.
Morphology : This species has been
described by Christensen (1938a). The
oocysts are piriform or shaped like a
stout, broad-shouldered urn, with the mi-
cropyle and micropylar cap at the broad
end; small oocysts are often bluntly ellip-
soidal. The oocysts are 22 to 35 by 17 to
25^1 with a mean of 29.4 by 20.9 fi. Their
length-width ratio is 1 . 2 to 1 . 7 with a
mean of 1.41. The micropyle is distinct,
3 to 5jj, in diameter. The micropylar cap
is prominent, 5 to lQ\i wide and 1 to 2. 5ji
high with a mean of 7. 5 by l.l \x; it is
shaped like a broad truncated cone with a
flat or slightly convex top, and is easily
dislodged. The oocyst wall is transparent,
pale brownish-yellow to yellowish-brown,
and composed of 2 layers, the outer one
being transparent, pale yellow to yellow-
ish-green, and half as thick as the inner,
heavier layer. The oocyst wall is lined
by a membrane. An oocyst polar granule
and oocyst residuum are absent. The
sporocysts are ovoid, with a sporocyst
residuum. The sporozoites have a re-
tractile globule at each end. The sporula-
tion time is 8 to 4 days.
Life Cycle : Unknown.
Pathogenesis : Unknown.
EIMERIA GRANULOSA
CHRISTENSEN, 1938
Hosts : Sheep, Rocky Mountain big-
horn sheep.
Location : Unknown. Oocysts found
in feces.
EIMERIA INTRICATA
SPIEGL, 1925
Hosts : Sheep, Rocky Mountain big-
horn sheep, moufflon, roe deer.
Location: Uncertain, presumably
abomasum and small intestine.
184
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Geographic Distribution : Worldwide.
Prevalence : This species is fairly
common. Christensen (1938a) found it in
14% of 100 sheep from Maryland, New
York and Wyoming. Jacob (1943) found it
in 13% of 100 sheep in Germany. Balozet
(1932) found it in 3% of 63 sheep in Tunisia.
Svanbaev (1957) found it in 4% of 302 sheep
in Kazakhstan.
Morphology : This species has been
described by Spiegl (1925), Balozet (1932)
and Christensen (1938a). The oocysts are
ellipsoidal, 39 to 54 by 27 to 36 (j. with a
mean of 47.0 by 32.0(:i (Christensen) or
45.6 by 33.0/1 (Spiegl). Their length-
width ratio is 1. 3 to 1. 8 with a mean of
1.47. The oocyst wall, as described by
Henry (1932), is composed of 3 layers;
the outer layer is a transparent, colorless
membrane which is very difficult to see;
the middle layer is thick, rough, brown,
transversely striated, 2.0 to 2. 5/i thick,
and somewhat thinner at the micropylar
end; the inner layer is colorless, 0.8 to
1.0 fi thick. The micropyle is prominent,
6 to 10 /I in diameter; it does not extend
to the inner layer. The micropylar cap is
prominent, transparent, colorless to
yellowish-green, crescent-shaped, de-
tachable, and 6 to 11 ji wide and 1 to 3j:i
high with a mean of 9 by 2 jm . An oocyst
polar granule and residuum are absent.
The sporocysts are elongate ovoid, 17 to
18 by 9 to 13 fi, with a small Stieda body
and a sporocyst residuum. The sporo-
zoites are wedge-shaped, with several
refractile globules. The sporulation time
is 3 to 5 days.
Life Cycle : The life cycle of E.
inlricala has not been worked out. As
mentioned above, Reichenow (1940) and
Becker (1956) considered that the giant
schizonts described from sheep under the
name E. gilruthi are those oiE. inlricala.
According to Kotlan, Pell^rdy and Versenyi
(1951), the merozoites of E. inlricala are
about 16/i long and bent like a hoe at one
end.
Pathogenesis : Unknown. These
oocysts are rarely found in large numbers.
Epidemiology : Honess (1952) found
this species in the Rocky Mountain bighorn
sheep, and Wetzel and Enigk (1936) re-
ported it from the roe deer in Germany.
EIMERIA NINAKOHLYAKIMOVAE
YAKIMOFF AND RASTEGAIEFF,
1930 emend.
Synonyms : Eimeria galouzoi (pro
parte), E. nina-kohl-yakimovi Yakimoff
and Rastegaieff, 1930.
Hosts : Sheep, goat. Rocky Mountain
bighorn sheep, mouflon [Ovis nmsinion),
0. orientalis, Siberian ibex (Capra ibex
sibirica), Barbary sheep {Animotragus
lervia), Persian gazelle {Gazella subgnt-
turosa).
Location : Small intestine, especially
the posterior part,and also cecum and colon.
Geographic Distribution : Worldwide.
Prevalence : This species is fairly
common. Christensen (1938a) found it in
3% of 100 sheep from Maryland and Idaho.
Jacob (1943) found it in 5% of 100 sheep in
Germany. Balozet (1932) found it in 35%
of 63 sheep and 34% of 41 goats in Tunisia.
Svanbaev (1957) found it in 52% of 302 sheep
and 31% of 48 goats in Kazakhstan.
Morphology : This species has been
described by Yakimoff and Rastegaieff
(1930), Balozet (1932) and Christensen
(1938a). The oocysts are usually ellip-
soidal, sometimes spherical, occasionally
slightly ovoid. They are 16 to 27 by 13 to
22 /i with means of 23. 1 by 18. 3 ^t (Chris-
tensen) or 19. 8 by 16. 5fj, (Balozet). Their
length-width ratio is 1. 1 to 1. 5 with a mean
of 1.27 according to Christensen (1938).
The oocyst wall is 1 to 1. 5 |i thick, trans-
parent, almost colorless to pale brownish
yellow, and composed of two layers of
which the outer is half as thick as the inner.
A micropyle is absent or imperceptible
(occasionally visible under bright light if
the oocyst is tilted, according to Christen-
sen). There is no micropylar cap. An
oocyst polar granule and oocyst residuum
THE TELOSPORASIDA AND THE COCCIDIA PROPER
185
are absent. The sporocysts are ovoid, 4
to 11 by 4 to 6 |u . A sporocyst residuum
is present. The sporozoites have one end
slender and pointed and the other thick and
rounded; they measure 4 to 5 by 2 /j, and
lie lengthwise, head to tail, in the sporo-
cysts. The sporulation time is 1 to 2 days
according to Christensen (1938a) or 3 to 4
days according to Balozet (1932).
Life Cycle : The life cycle of this
species has been described by Balozet
(1932) in the goat and briefly by Lotze
(1954) in the sheep. Their accounts differ,
and are given separately below.
Lotze (1954) found in sheep that the
sporozoites enter the epithelial cells ati
the base of the glands of Lieberkuehn in
the small intestine, where they form
schizonts about 300 jj, in diameter contain-
ing thousands of merozoites. The sexual
stages occur in the epithelial cells of the
ileum, cecum and upper part of the large
intestine, appearing 15 days or more
after infection.
Balozet (1932a) found in a kid killed
39 days after infection that the schizonts
were only 15 to 35 /j, in diameter and con-
tained only 40 to 200 merozoites. How-
ever, these schizonts were found very
late in the infection. They were asso-
ciated with macrogametes and microga-
metocytes, and it is possible either that
they may have belonged to a second gen-
eration not mentioned by Lotze or that
they may have belonged to some other
species.
The prepatent period was found by
Shumard (1957) to be 15 days in lambs
and by Balozet (1932) to be 10 to 13 days.
Pathogenesis : This is one of the
most pathogenic species of coccidium in
sheep. Lotze (1954) found that as few as
50,000 oocysts caused diarrhea in a 3-
month-old lamb, and as few as 500, 000
oocysts caused death. Dysentery was pro-
duced in a 2-year-old sheep by inoculation
with as few as 1 million oocysts.
Lotze (1954) found that in lambs the
feces became soft in 12 to 17 days after
experimental infection. They became
watery a day or 2 later and remained so
for a week or more. In the more heavily
infected lambs, the feces contained blood-
stained mucus beginning the 15th day after
infection or soon thereafter. In those ani-
mals which recovered, the feces remained
soft for some weeks.
The lambs with severe diarrhea lost
their appetites at first, altho they appeared
to drink more. After about a week they
drank very little. There was rapid loss of
weight at the onset of diarrhea. If the
lambs recovered, they gained weight about
as rapidly as the controls, but of course
had taken a setback in growth. About 2
months after severe coccidiosis, the wool
began to break off over extensive areas,
starting on the flanks; this may have been
due to nutritional disturbance caused by
the infection.
The diarrheic feces attracted flies,
and affected animals quickly became fly-
struck. Some animals which would other-
wise have recovered died of flystrike if
they were not treated for this condition.
At necropsy, petechial hemorrhages
were found in the small intestine 3 to 7
days after infection. The small intestine
then became thickened and inflamed. Ex-
tensive hemorrhage was present in the
posterior part of the small intestine of
severely affected lambs by the 15th day.
The cecum and upper part of the large in-
testine became thickened and edematous,
and were hemorrhagic by the 19th day.
In heavily infected lambs, vast areas of
the posterior part of the small intestine
were denuded of epithelium. Thus, one
can say that the lesions consisted at first
of petechial hemorrhages, followed by
thickening, edema and inflammation, and
finally by epithelial denudation. The small
intestine, especially its posterior part,
cecum and upper colon were affected.
Shumard (1957a) studied a somewhat
less pathogenic strain. He reported
lowered feed consumption, lassitude, gen-
eralized incoordination and slight diarrhea
with some bleeding in lambs experimentally
infected at 50 days of age with 7 million
IRfi
THE TELOSPORASIDA AND THE COCCIDIA PROPER
oocysts of E. ninakohlyakimovae and
100, 000 oocysts of E. faiirei. There was
no decrease in water consumption. Clin-
ical signs appeared on the 9th day after
infection and ended about the 22nd day.
One out of the 4 lambs died on the 15th
day. There were decreases in percentage
of feed protein digested and inorganic
serum phosphorus, increases in serum
globulins and blood glucose, and no sig-
nificant changes in total serum protein,
blood hemoglobin and hematocrit values.
Oocysts of both species appeared in the
feces on the 15th day, increased until the
21st day and then decreased gradually.
Balozet (1932) observed a case of
muco-sanguineous diarrhea followed by
death in a naturally affected adult goat,
and produced the disease experimentally
in 2 newborn kids. A mucous diarrhea
appeared on the 22nd day after infection,
became bloody, and persisted until about
the 39th day.
Remarks : In one of the very few
cross-transmission experiments attempted
with sheep and goat coccidia, Balozet
(1932) was unable to infect a recently
weaned lamb with E. numkohlyakimovae
from a goat, altho he did infect 2 newborn
kids. He thought the lamb was too old.
EIMERIA PALLIDA
CHRISTENSEN, 1938
tible and there is no micropylar cap. The
oocyst wall is thin, homogeneous, color-
less to pale yellow to yellowish green,
appears fragile and pallid, and is com-
posed of 2 layers of which the outer is
half as thick as the inner, with a single
dark refraction line marking its inner edge.
An oocyst polar granule and oocyst resi-
duum are absent. The sporocysts are
ovoid, without a sporocyst residuum. The
sporozoites lie lengthwise, head to tail,
in the sporocysts, and contain a spherical
globule at each end. The sporulation time
is 1 day.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : In describing E. pallida,
Christensen (1938a) said that it differed
from E. parva is being narrower, pale,
inconspicuous and colorless, and in having
only a single black refraction line on the
inner surface of the oocyst wall instead of
2 black refraction lines, one on each side
of the inner wall. However, Kotlan, Pel-
lerdy and Versenyi (1951) considered E.
pallida a synonym of E. parva.
EIMERIA PARVA
KOTLAN, MOCSY AND VAJDA, 1929
Synonyms : Ei»ieria galouzoi {pro
parte).
Host : Sheep.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : North
America.
Prevalence : Christensen (1938a)
found this species in 10% of 100 sheep
from Maryland and Wyoming.
Morphology : This species has been
described by Christensen (1938a). The
oocysts are ellipsoidal, 12 to 20 by 8 to
15^ with a mean of 14. 2 by 10, O^L . Their
length-width ratio is 1 . 2 to 1 . 7 with a
mean of 1. 43. A micropyle is impercep-
Hosts : Sheep, goat. Rocky Mountain
bighorn sheep, Barbary sheep {Ammotra-
gus lervia), Siberian ibex {Capya ibex
sibirica), roe deer.
Location : Schizonts are found thru-
out the small intestine, and gametes and
gametocytes in the cecum, colon and small
intestine.
Geographic Distribution : Worldwide.
Prevalence : This species is common
in sheep, less common in goats. Chris-
tensen (1938a) found it in 50% of 100 sheep
from Idaho, Maryland and Wyoming. Jacob
(1943) found it in 52% of 100 sheep and 9%
of 11 goats in Germany; he also found it in
THE TELOSPORASIDA AND THE COCCIDIA PROPER
187
a roe deer. Balozet (1932) found it in 21%
of 63 sheep and 22% of 41 goats in Tunisia.
Svanbaev (1957) found it in 9% of 302 sheep
in Kazakhstan.
Morphology : This species has been
described by Kotlan, Mocsy and Vajda
(1929), Balozet (1932) and Christensen
(1938a). The oocysts are subspherical,
ellipsoidal or spherical, 12 to 22 by 10 to
18/i with a mean of 16. 5 by 14. 1 jj, (Chris-
tensen) or 17. 2 by 13. 5|u (Balozet).
Their length width ratio is 1. to 1.5 with
a mean of 1.18 (Christensen). The oocyst
wall is smooth, homogeneous, pale yellow
to yellowish green, and composed of 2
layers of which the outer is half as thick
as the inner; there is a heavy, black re-
fraction line on each side of the inner
layer, according to Christensen. Accord-
ing to Balozet, the wall appears to be
lined by a membrane. The sporont is
clear. A micropyle is absent; according
to Christensen, the oocyst wall occasion-
ally appears slightly paler at one end than
the other. An oocyst polar granule and
oocyst residuum are absent. The sporo-
cysts are oval. The sporocyst residuum
is indistinct if present at all. The spor-
ulation time is 1 to 2 days (Christensen)
or 7 to 8 days (Balozet).
Life Cycle : The life cycle of E.
parva in sheep has been described by
Kotlan, Pelle'rdy and Versenyi (1951).
The schizonts are found thruout the small
intestine. They measure up to 185 to 256
by 128 to 179^1 and are easily visible to
the naked eye as whitish bodies. They
lie in the mucosa, usually near the sur-
face but sometimes as far down as the
muscularis mucosae. They invade endo-
thelial cells and enlarge both the host cell
and its nucleus enormously. They are
surrounded by a rather thick layer of
connective tissue which becomes thinner
as they increase in size. Each schizont
produced thousands of straight merozoites
10 to 12^1 long.
Kotlan, Pellerdy and Versenyi (1951)
also found a second, much smaller type of
schizont in the small intestine. It occurred
in the superficial epithelial cells, was
10 to 12 fi in diameter and contained about
10 to 20 merozoites 2. 5 to 3 /i long. They
were not sure, however, whether it was
part of the life cycle of E. parva.
The sexual stages occur mostly in the
cecum and colon and to a lesser extent in
the small intestine. They are found in the
epithelial cells and measure 15 to 19 by 10
to 16 p..
Pathogenesis : This species is appar-
ently not very pathogenic. Most of the
damage is caused by the sexual stages in
the large and small intestines. In a lamb
killed by Kotlan, Pelle'rdy and Versenyi
(1951) 16 days after experimental infection,
the contents of the cecum and colon were
semifluid, dark and mixed with blood in
places. The wall was thickened and its
surface uneven and denuded of epithelium
in places. By histologic examination of the
cecum, it was found that the mucosa had
been stripped from the glandular layer in
places and the tissue had become necrotic
and infiltrated with lymphocytes and neu-
trophiles but no eosinophiles. Sharply
separated from these necrotic areas were
other areas in which most of the epithelial
cells contained microgametocytes, macro-
gametes or young oocysts.
EIMERIA PUNCTATA
LANDERS, 1955
Synonym : Eimeria honessi Landers,
1952.
Host : Sheep.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution :
America (Wyoming).
North
Prevalence : Landers (1952) found
this species in 2 of 9 sheep in Wyoming.
Morphology : This species has been
described by Landers (1952). The oocysts
are subspherical, 18 to 25 by 16 to 21 fi.
with a mean of 21.2 by 17.7 j^. Their
length-width ratio is 1. 1 to 1. 3 with a
mean of 1. 20. The oocyst wall has
188
THE TELOSPORASIDA AND THE COCCIDIA PROPER
conspicuous, uniform, cone-shaped pits
about 0. 5/jL in diameter. It is 1. 2 to 1. Sfi
thick (mean, 1.5fi); its outer layer is
colorless to yellowish, and its inner layer
greenish, with two dark refraction lines,
one at either surface. There is a conspic-
uous micropyle. A micropylar cap is
present, sometimes imperceptible, up to
6. 5(i wide and 1.6^ high with a mean of
4. 1 by 0. 8 )i . An oocyst residuum and
oocyst polar granule are absent. The
sporocysts are spherical to ellipsoidal,
and average 8. 1 |j. in diameter or 10. 4 by
6. 9 (1 . The presence or absence of a
sporocyst residuum was not mentioned.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Fig. 26. Coccidia of sheep. A. Eimeria pallula unspornl^tedoocysU ^'JJ'^^^J'!^
^ sporulated oocyst. C. E. parva unsporulated oocyst D. E. mnakohlyakn
o.aeunsporulated oocyst. E. E. '"''"■«'" ""fP^^^l^^'^'^o^^'y^'v ^^,„^;,/;;;
porulated oocyst. G. E. arloinni unsporulated oocyst. H £^ ^~°"'
Dorulated oocyst. I. £. A'>-«««/osa sporulated oocyst. X 1270. (From
E. faiirei
uns
unsporulated oocyst
Christensen, 1938)
THE TELOSPORASIDA AND THE COCCIDIA PROPER
189
COCCIDiOSIS IN SHEEP AND GOATS
Coccidiosis in sheep is primarily a
disease of feedlot lambs. It has been
studied by Newsom and Cross (1931),
Deem and Thorp (1939, 1940) and Chris-
tensen (1940) among others. It appears
12 days to 3 weeks after the lambs arrive
in the feedlot. Diarrhea, depression and
inappetance appear, followed by weakness
and loss of weight. The diarrhea continues
for several days up to about 2 weeks, and
some lambs may die during this period.
Most, however, recover. The mortality
varies, but is seldom more than 10%. In
a group of 16, 000 New Mexico feeder
lambs studied by Christensen (1940) on a
Nebraska feedlot, the mortality was 3.4%,
but another 9. 8% of scouring, emaciated
lambs were removed to a hospital lot for
special diet and care.
Even if there are no deaths, there
may be loss of weight or reduced weight
gains. Thus, Shumard (1957) found that
80 lambs experimentally infected with a
sublethal mixture of coccidian oocysts
(mostly E. nlnakohlyakimovae and£.
arloingi) lost an average of 0.205 pounds
per pound of feed consumed during the 24
days following infection, as compared
with an average gain of 0. 062 pounds per
pound of feed consumed for 40 control,
uninfected lambs.
When lambs are brought into the feed-
lot, they are usually shedding small num-
bers of coccidian oocysts. As the result
of crowding, and under conditions which
promote fecal contamination of the feed,
the coccidial infections build up. The
number of oocysts in the feces rises for
about a month, remains stationary for 1
to 3 weeks and then decreases rather
rapidly, only a few oocysts being present
at the end of the feeding period. Whether
or not disease will appear depends upon
the number and species of oocysts which
the lambs ingest during the crucial first
week or two. By the end of the first
month, there is little danger of coccidio-
sis. The lambs have been infected, but
the exposing dose of oocysts has been
small enough to permit immunity to de-
velop. In other words, there has been
coccidiasis but no coccidiosis.
Feeding of chopped feed in open troughs
low enough to be contaminated with feces
promotes coccidiosis. Christensen (1941a)
found that corn silage provided an amount
of moisture which favored oocyst sporula-
tion, while chopped alfalfa, grain and mo-
lasses also permitted sporulation.
Dunlap, Hawkins and Nelson (1949)
followed oocyst production from the time
of birth in lambs running with their mothers.
The ewes were the source of infection, and
lambs became infected by ingesting sporu-
lated oocysts from the bedding. The first
oocysts appeared when the lambs were 5 to
8 weeks old; they built up to a peak which
lasted 1 to 4 weeks, and then declined.
Temperature affects oocyst sporula-
tion. Dunlap, Hawkins and Nelson (1949)
found the first sporulated oocysts in the
bedding when the mean temperature was
49° F. Christensen (1939) found that the
optimum sporulation temperature for the
oocysts of E. arloingi was 20-25° C, the
sporulation time being 2 to 3 days at that
temperature in a thin layer of water or in
fecal pellets. The oocysts survived less
than 4 months in fecal sediment at this
temperature. Sporulation was slow at
to 5° C, altho oocysts remained alive for
at least 10 months in fecal sediment or
moist pellets. No sporulation took place
at 40° C and the oocysts were killed within
4 days. If the fecal sediment was allowed
to putrefy, however, no sporulation took
place at any temperature.
Landers (1953) found that the oocysts
of E. arloi)igi, E. ninakohlyakiniovae and
E. parva did not survive 24 hours in sheep
pellets when frozen directly to -30° C, and
survived less than 2 days when conditioned
at -19° C prior to freezing to -30°. They
survived without essential mortality when
frozen directly to -25° C for 7 days, but
only about half of the first two species and
one quarter of E. parva survived 14 days.
Repeated freezing and thawing at -19 or
-25° C up to 6 or 7 times had no significant
effect on survival. Landers said that in an
average winter at Laramie, Wyoming the
minimum soil surface temperature would
probably be between -15 and -20° C and
that unsporulated oocysts would not nor-
mally be killed by such temperatures.
190
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Diagnosis : Coccidiosis in sheep and
goats can be diagnosed from a combination
of history, signs, gross lesions at necropsy
and microscopic examination of the intes-
tinal mucosa and feces. However, recog-
nition of coccidia in the lesions at necropsy
is necessary for positive diagnosis. The
mere presence of oocysts in the feces does
not necessarily mean that the disease is
due to coccidia. On the other hand, acute
coccidiosis may be present before any
oocysts appear.
Treatment : Relatively few studies
have been carried out on the treatment of
coccidiosis in sheep. A distinction must
be made between preventive and curative
treatments. Several sulfonamides and
sulfur are of value in preventing coccidio-
sis in lambs, but no drugs are known to
cure the disease once signs appear. How-
ever, oxytetracycline and related anti-
biotics may be of value in controlling sec-
ondary infections.
Christensen (1944) found that 0. 5 to
1. 5% sulfur fed in a ration of chopped al-
falfa and ground corn held together by
molasses and water prevented coccidiosis
in feeder lambs. He fed this amount of
sulfur for 72 days without ill effects, but
higher concentrations caused diarrhea and
decreased weight gains.
Tarlatzis, Panetsis and Dragonas
(1955) claimed that furacin was effective
against coccidiosis in sheep and goats,
but their work was uncontrolled.
Prevention : Good sanitation will
largely prevent coccidiosis in lambs.
Coccidiosis is not a problem in suckling
lambs on the western range, but appears
when the animals are brought together in
the feedlot. Feedlots should be kept dry
and clean. Clean water and feed should be
supplied, and feed troughs should be so
constructed that they cannot be contamin-
ated with feces.
Foster, Christensen and Habermann
(1941) found that 2 g sulfaguanidine a day
prevented the acquisition of natural coc-
cidiosis in 5 lambs and reduced the level
of oocyst output in 4 subclinical infections
with unnamed species. Christensen and
Foster (1943) reported that 0.2% sulfa-
guanidine in the feed for 20 days beginning
1 day after an infective feeding with 500,000
sporulated oocysts from lambs with clin-
ical coccidiosis prevented severe coccid-
iosis in lambs, but that 0.45% sulfaguanidine
failed to affect the course of the disease
when it was begun the day after clinical
signs had appeared. Steward (1952) found
that sulfamethazine and sulfadiazine had
some value in an outbreak of coccidiosis
in sheep, reducing the numbers of oocysts
passed, but that quinacrine was valueless.
Whitten (1953) found in a controlled exper-
iment that neither 0.01 g per kg quinacrine
hydrochloride nor 0.01 g per kg sulfameth-
azine daily for 3 days had any significant
effect on oocyst production or weight gains
in naturally affected lambs. However,
oocyst production decreased markedly
markedly in both ireated lambs and controls
following treatment, so that if no controls
had been used, it would have been assumed
that the treatment had been of value.
Coccidiosis is a potential hazard if
lambing takes place in a barn or restricted
area, and the bedding is the most common
source of infection. Shumard and Eveleth
(1956) recommended as a practical method
for raising lambs with their ewes that the
animals be kept in concrete pens with
straw bedding, that the pens be cleaned
twice a week, and that 1 pint of a 3. 45%
sulfaquinoxaline solution be added to each
50 gallons of drinking water. In their
studies, coccidian oocysts did not appear
in the lambs until 18 days after treatment
had been discontinued.
EIMERIA DEBLIECKI
DOUWES, 1921
Synonyms : Eimeria bri(»if>ti, Eimeria
jaliiia, Eimeria suis.
Host: Pig.
Location : Small intestine, and, to a
lesser extent, large intestine.
Geographic Distribution : Worldwide.
Prevalence : E. debUecki is the com-
monest coccidium of swine. De Graff
(1925) found it in 51% of 500 pigs in the
THE TELOSPORASIDA AND THE COCCIDIA PROPER
191
Netherlands. Yakimoff e/ flZ. (1936) found
it in 92% of 141 pigs in Russia. Yakimoff
(1936) found it in 27% of 53 pigs from
Brazil. Novicky (1945) found it in 27% of
62 pigs in Venezuela. Nieschulz and
Ponto (1927) found it in all of about 50
pigs in Java.
Morphology : The oocysts are ovoid
to ellipsoidal or subspherical, 13 to 29 by
13 to 19/1. The oocyst wall is 1.0 to
1.5ii thick, smooth, colorless to brown-
ish, and composed of 2 layers. A micro-
pyle is absent. An oocyst polar granule
is absent (present according to Paichuk,
1953). An oocyst residuum is absent.
The sporocysts are ellipsoidal or ovoid,
14 to 18 by 6 to 8|:x with a Stieda body. A
sporocyst residuum is present.
The sporulation time is 6 to 9 days.
The sporulation process has been des-
cribed in detail by de Graaf (1925).
that pigs experimentally infected with 20
to 30 million mixed sporulated oocysts of
E. debliecki and E. scabra developed a
profuse diarrhea lasting 2 to 15 days,
inappetance and did not gain weight.
Swanson and Kates (1940) described an
outbreak of coccidiosis in a litter of 4. 5
month old pigs in Georgia. The pigs had
a profuse diarrhea and gained weight
poorly despite ravenous appetites, excel-
lent rations and good care. Novicky (1945)
described several outbreaks of swine coc-
cidiosis in Venezuela. The mortality was
relatively low, but the young animals
which survived were retarded.
Immunity : Biester and Schwarte
(1932) produced complete immunity in pigs
by feeding them oocysts daily for 100 days
or more. Light infections produced partial
immunity. As with other coccidia, adult
pigs are often carriers, shedding a few
oocysts in their feces.
Life Cycle : De Graaf (1925) and
others have described the endogenous
stages of this species. The schizonts
produce 14 to 16 banana-shaped mero-
zoites. These are 8 to 10 |i long and 3 to
4. 5ju wide; one end is rounded and the
other pointed. The nucleus is usually in
the middle of the merozoites. The micro-
gametocytes are 7 to 22|U in diameter
when mature. The microgametes are
3. 5jLt long and 0. 6;i wide and have 2 fla-
gella. The macrogametes are similar to
those of other Eimeria species.
Remarks : Brug (1946) found E. deb-
liecki as a pseudoparasite of man in Hol-
land. Four out of 13 persons in a psychi-
atric ward passed oocysts in their feces
on one day. They had probably been in-
gested with liver sausage, the casing of
which was made from pig intestines.
EIMERIA PERMINUTA
HENRY, 1931
Host : Pig.
Biester and Schwarte (1932) found that
the prepatent period in experimentally in-
fected pigs was about 7 days and that
oocysts were present in the feces for 10
to 15 days in the absence of reinfection.
Pathogenesis : E. debliecki is only
slightly pathogenic if at all in adult ani-
mals, but it may cause diarrhea and even
death in young pigs. Biester and Murray
(1929) found that young pigs fed large num-
bers of sporulated oocysts developed
severe diarrhea. They became emaciated
and some even died. Some had constipa-
tion, but dysentery was never observed.
The pigs which recovered usually failed to
do wen. Alicata and Willett (1946) found
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Worldwide.
t* Prevalence : Yakimoff et al. (1936)
found this species in 18% of 141 pigs in
Russia. Yakimoff (1936) found it in 45%
of 53 pigs in Brazil.
Morphology : This species was first
described by Henry (1931) from pigs in
California. The oocysts are ellipsoidal
to spherical, 11 to 16 by 10 to 13jj,. The
oocyst wall is rough, yellowish, and ap-
parently composed of a single layer. A
micropyle is absent. An oocyst polar
192
THE TELOSPORASIDA AND THE CCXTCIDIA PROPER
granule is present. No other morphologi-
cal information is known. The sporulation
time is 11 days.
Life Cycle : Unknown.
Pathogenesis : Unknown.
EIMERIA POLITA
PELLERDY, 1949
Host : Pig.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Europe
(Hungary), North America (Alabama).
Prevalence : Unknown.
Morphology : This species has been
described by Pelle'rdy (1949) in Hungary
and by Lesser and Davis (1958) in Alabama.
The oocysts are ellipsoidal, rarely broadly
ovoid, 17 to 36 by 13 to 24 (J, with a mean of
23. 8 by 17. 9 |Lt . The oocyst wall is smooth
or occasionally roughened, yellowish
brown or pinkish brown, 1.0 to 1.5 /j, thick.
The micropyle is imperceptible or is seen
only when the oocyst lies in a favorable
position. A polar granule is present in
about half the oocysts. There is no oocyst
residuum. The sporocysts are ellipsoidal,
15tol9by6/i. A sporocyst residuum is
present. The sporulation time is 8 to 9 days.
Life Cycle : Unknown. Pellerdy (1949)
found that the prepatent period in 3 exper-
imentally infected pigs was 8 to 9 days.
Pathogenesis : Unknown.
EIMERIA SCABRA
HENRY, 1931
Host : Domestic and wild pigs.
Location : Intestine. The sexual
stages are found in the epithelial cells of
the villi.
Geographic Distribution : Worldwide.
Prevalence : Yakimoff et al. (1936)
found this species in 33% of 141 pigs in
Russia.
Morphology : The oocysts are ovoid
to ellipsoidal, 22 to 36 by 16 to 28 ^ . The
oocyst wall is brown, rough, and 1. 5 to
2.0ji thick, becoming thinner at the nar-
row end. A micropyle is present accord-
ing to Pelle'rdy (1949), but was not men-
tioned by Henry (1931). An oocyst polar
granule is present. There is no oocyst
residuum. The sporocysts are ellipsoidal,
15 to 19 by 6 jM, and have a sporocyst res-
iduum. The sporulation time is 9 to 12
days.
Life Cycle : The endogenous stages
of this species have not been described.
Pelle'rdy (1949) found that the prepatent
period in 2 experimentally infected pigs
was 9 days.
Pathogenesis : Uncertain. Alicata
and Willett (1946) found that pigs experi-
mentally infected with 20 to 30 million
mixed sporulated oocysts of E. debliecki
and E. scabra developed a profuse diar-
rhea lasting 2 to 15 days, lost their appe-
tites and did not gain weight. How much
of this effect was due to E. scabra is not
known.
EIMERIA SCROFAE
GALLI-VALERIO, 1935
Host : Domestic pig.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Europe
(Switzerland).
Prevalence : Unknown.
Morphology : This species has been
described only by Galli-Valerio (1935).
The oocysts are cylindroid, with one end
slightly flattened, and measure 24 by 15fi.
There is a distinct micropyle. Oocyst and
sporocyst residua are absent. The sporont
is finely granular. Pelle'rdy (1949) con-
sidered this a rather doubtful species
THE TELOSPORASIDA AND THE COCCIDIA PROPER
193
resembling E. debliecki. However, the
absence of a sporocyst residuum and
presence of a micropyle differentiate it
from this species.
Life Cycle : Unknown.
Pathogenesis : Unknown .
FIMBRIA SPINOSA
HENRY, 1931
Host : Pig.
Location : Unknown. Oocysts found
in feces.
sorted out and their importance assessed.
Coccidia are among the least known of
these agents.
Coccidiosis is primarily a disease of
young pigs. Adults are carriers. Eiiiieria
debliecki is probably the most pathogenic
species, but E. scabra and Isospora suis
may also cause disease.
Pigs become infected by ingesting
sporulated oocysts along with their feed
or water. The presence or severity of
the disease depends upon the number of
oocysts they receive. Crowding and lack
of sanitation greatly increase the disease
hazard.
Geographic Distribution : North
America (California, Minnesota, Mary-
land, Georgia), Hawaii, USSR (North
Caucasus).
Prevalence : Unknown. This species
appears to be relatively uncommon.
Morphology : This species was des-
cribed by Henry (1931). The oocysts are
ovoid or ellipsoidal, 16 to 22 by 10 to
13 ju.. The oocyst wall is brown, opaque,
and studded with spines about 1 /i long and
1 iu apart. A micropyle is absent. An
oocyst polar granule is present. An
oocyst residuum is apparently absent.
The sporocysts have a Stieda body. A
sporocyst residuum is apparently present
(Henry's description is ambiguous). The
sporulation time is 11 to 12 days.
Pathogenesis : This species is only
slightly pathogenic if at all. Andrews and
Spindler (1952) observed no diarrhea or
other signs in an infected pig which passed
as many as 7 million oocysts per gram of
feces.
COCCIDIOSIS IN SWINE
Epidemiology : Coccidia are common
in swine, but we know little about the
prevalence and importance of the disease,
coccidiosis. Enteritis is so common in
young pigs and is caused by so many dif-
ferent agents that they have not all been
Avery (1942) found that the oocysts of
E. debliecki and E. scabra could survive
and remain infective in the soil for 15
months. The soil surface temperature
varied between -4. 5° and 40° C during
this period. Unsporulated oocysts with-
stood continuous freezing at -2^ to -7° C
or alternate freezing and thawing at 0. 5°
and -3° C for at least 26 days, altho sub-
sequent sporulation was somewhat de-
creased.
Immunity : Repeated infections over
a period of time confer immunity to coc-
cidiosis. Blester and Schwarte (1932)
produced complete immunity in pigs by
feeding oocysts daily for 100 days or
more. Light infections produced partial
immunity.
The coccidia of swine are not trans-
missible to other farm animals, and pigs
cannot be infected with their coccidia.
Diagnosis : Coccidiosis in swine can
be diagnosed by finding the endogenous
stages in lesions in the intestine. The
presence of oocysts in the feces does not
necessarily mean that coccidiosis is
present, nor does their absence necessar-
ily mean that it is absent, since oocysts
may not be produced until 2 or 3 days
after the first signs of disease appear.
Treatment : Little is known about
treatment of coccidiosis in pigs. Alicata
and Willett (1946) found that when 1 g
194
THE TELOSPORASIDA AND THE COCCIDIA PROPER
sulfaguanidine per 10 lb body weight was
administered to pigs daily with their feed
for 7 or 10 days beginning 2 days before
experimental infection with 20 to 30 mil-
lion sporulated oocysts of E. debliecki and
E. scabva, very few if any oocysts were
produced and the pigs did not become ill.
Similar treatment with sulfaguanidine for
3 days beginning on the 2nd day of oocyst
discharge reduced the numbers of occysts
produced and the period of discharge.
Presumably other sulfonamides would also
be of value.
Prevention and Control : Sanitation
will prevent coccidiosis in swine. Pens
should be cleaned frequently, overcrowd-
ing should be avoided, and pigs should be
raised under conditions which prevent
them from eating many infective oocysts.
the hot days of October in India (Hire-
gaudar).
Life Cycle : The schizonts and mero-
zoites of this species have not been des-
cribed. The sexual stages were described
most recently by Hemmert-Halswick (1943).
They are found beneath the epithelium in
the villi of the small intestine. The mi-
crogametocytes measure up to 300 by
170|i when mature. The macrogametes
contain both eosinophilic and basophilic
plastic granules which later form the wall
of the oocyst.
Pathogenesis : Diarrhea, loss of
weight and even death have been reported
in heavily infected animals. Hemmert-
Halswick (1943) described marked inflam-
matory changes in the small intestine
mucosa.
EIMERIA LEUCKARTI
(FLESCH, 1883)
REICHENOW, 1940
Synonyms : Globidium leuckarti.
Hosts: Horse, ass.
Diagnosis : Diagnosis can be made
by finding the endogenous stages of this
coccidium in association with lesions in
the intestine. The oocysts are seldom
seen in feces because they are so heavy
that they do not rise to the surface in the
salt solutions used for flotations.
Location : Small intestine.
Geographic Distribution : Europe,
India.
Prevalence : Apparently uncommon.
Morphology : The sporulated oocysts
have been described by Reichenow (1940a)
and Hiregaudar (1956a). They are ovoid,
somewhat flattened at the smaller end,
and 75 to 88 by 50 to 59 /i. The oocyst
wall is composed of 2 layers, of which the
outer is dark brown, 5 to 7)j, thick, opaque
and granular, and the inner layer is about
1 [i. thick and colorless. The micropyle is
distinct. An oocyst residuum is absent.
An oocyst polar granule is apparently ab-
sent. The sporocysts are elongate, 30 to
42 by 12 or \A\x with a Stieda body. A
sporocyst residuum is present. The
sporozoites are elongate, up to 35 ji long,
with a clear globule at the large end. The
sporulation time is 21 days at 20 to 22° C
in Germany (Reichenow) or 15 days during
EIMERIA SOLIPEDUM
GOUSSEFF, 1935
Hosts : Horse, ass.
Location: Unknown. Oocysts found
in feces.
Geographic Distribution : USSR
(Azerbaidzhan, Volga basin, Leningrad).
Prevalence : Gousseff (1935) found
this species in 1.4% of 3355 horses, 3%
of 251 donkeys and 1% of 161 mules in
Russia.
Morphology : The oocysts are spher-
ical, bright orange to yellowish brown,
and 15 to 28 jn in diameter. The oocyst
wall is double contoured, without a micro-
pyle. An oocyst residuum and polar gran-
ule are absent. The sporocysts are
ellipsoidal or oval, 5by3fi. The sporo-
zoites are piriform. The presence or
THE TELOSPORASIDA AND THE COCCIDIA PROPER
195
absence of a sporocyst residuum could
not be determined.
Life Cycle ; Unknown.
Pathogenesis : Unknown.
EIMERIA UNIUNGULATI
GOUSSEFF, 1935
Hosts : Horse, ass.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : USSR
(Azerbaidzhan, western RSFSR, Volga
region, Leningrad, Siberia, Tadzhikistan,
Uzbekistan).
Prevalence : Gousseff (1935) found
this species in 0. 8% of 3355 horses, 3%
of 251 donkeys and 1% of 161 mules in
Russia.
Morphology : The oocysts are oval
(ellipsoidal?), bright orange, and 15 to
24 by 12 to 17 )n . The oocyst wall is
double contoured. A micropyle, oocyst
residuum and polar granule are absent.
The sporocysts are 6 to 11 by 4 to 6 jn .
A sporocyst residuum is present.
Life Cycle : Unknown.
Pathogenesis: Unknown.
Geographic Distribution : Europe
(England, Holland), North America (Ne-
braska, Quebec), Australia.
Prevalence : This form is uncommon.
It was found by Brown and Stammers (1922)
and Wenyon (1923) in England, Nieschulz
(1924) in Holland, Skidmore and McGrath
(1933) in Nebraska and Bearup (1954) in a
dingo in Australia. Choquette and Gelinas
(1950) reported it in 10% of 155 dogs in
Quebec.
Morphology : The oocysts are ovoid
or ellipsoidal, 17 to 45 by 11 to 28/i,
pink, red or colorless. The oocyst wall
is fairly thick, rough, and composed of 2
layers. A micropyle is present. The
sporocysts measure 9. 5 by 2. 5|u. The
sporulation time is 1 to 4 days.
Remarks : It is far from certain that
this is a valid species. Wenyon (1926)
remarked that in many respects E. canis
resembles a mixture of E. stiedae and E.
perforans of the rabbit, and Goodrich
(1944) considered it to be a rabbit form
which the dogs had eaten.
EIMERIA CATI
YAKIMOFF, 1933
Hosts: Cat, dog.
Location: Intestine.
COCCIDIOSIS IN HORSES,
ASSES AND MULES
Coccidiosis is such a rarity in horses,
asses and mules that little can be said
about it. The same measures which are
effective in cattle should control coccid-
iosis in equids.
EIMERIA CANIS
WENYON, 1923
Hosts :. Dog, cat, dingo.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : USSR.
Prevalence : Rare.
Morphology : The oocysts are ovoid
or spherical; the ovoid oocysts are 18 to
24 by 14 to 20 ji with a mean of 21 by 17 fj,;
the spherical oocysts are 16 to 22 jj. in
diameter with a mean of 18jj, . A micro-
pyle is absent. An oocyst polar granule
is present. An oocyst residuum is absent.
A sporocyst residuum is present.
Life Cycle: Unknown.
Pathogenesis: Unknown.
196
TlIF TELOSPORASIDA AND THE COCCIDIA PROPER
EIMERIA FELINA
NIESCHULZ, 1924
Hosts : Cat, lion.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Europe
(Holland).
Prevalence : Rare.
Morphology : The oocysts are ellip-
soidal, 21 to 26 by 13 to 17 ji with a mean
of 24 by 14. 5ji. The oocyst wall is about
1 ^t thick, smooth, colorless, and double
contoured. A definite micropyle is ab-
sent. An oocyst polar granule is absent.
An oocyst residuum is present. The
sporocysts are elongate ovoid, with a
Stieda body. A sporocyst residuum is
present. The sporozoites are comma-
shaped, with a large vacuole at the large
end and usually a small one at the small
end.
Life Cycle : Unknown.
Pathogenesis: Unknown.
EIMERIA STIEDAE
(LINDEMANN. 1865)
KISSKALT AND HARTMANN, 1907
Synonyms : Monocystis stiedae,
Cocciditu)! ovi/orme, Coccidium cimicidi.
Hosts : Domestic rabbit, European
hare (Lepus europaeiis), varying hare
(L. aniericanHs), black-tailed jack rabbit
(L. calif or nic us), alpine hare (L. tini-
idus), L. variabilis, cottontails {Sylvil-
agus floridanus , S. nuttalli).
Location : Liver. The coccidia are
found in the bile duct epithelial cells.
Geographic Distribution : Worldwide.
Prevalence : This is the most com-
mon and most important coccidium of
domestic rabbits. It also occurs in hares
{Lepus), but is less common in cottontails
than other species.
Morphology : The oocysts are ovoid,
sometimes ellipsoidal, with a flat micro-
pylar end, and measure 28 to 40 by 16 to
25 ji with a mean of 37 by 21 /i . The
oocyst wall is smooth and salmon-colored.
A micropyle is present. An oocyst polar
granule and oocyst residuum are absent.
The sporocysts are elongate ovoid, 18 to
10 |i, with a Stieda body. A sporocyst
residuum is present. The sporulation
time is 3 days.
Life Cycle : The life cycle of this
species has been studied by a number of
workers (see Becker, 1934, for a review).
The sporulated oocysts excyst in the small
intestine. The sporozoites penetrate the
intestinal mucosa, enter the hepatic portal
system, and pass to the liver. Here they
enter the epithelial cells of the bile ducts.
The liver parenchyma cells are only rarely
invaded. Development takes place above
the host cell nucleus. Each sporozoite
rounds up and becomes a schizont which
produces 6 to 30 or more (usually 8 to 16)
merozoites which measure about 8 to 10
by 1. 5 to 2. 0(1 . The number of asexual
generations is not known. Later, some
merozoites become microgametocytes
which produce large numbers of comma-
shaped, biflagellate microgametes, while
others become macrogametes. These are
fertilized, lay down an oocyst wall, break
out of their host cell, pass into the intes-
tine with the bile and thence out of the
body. The prepatent period is 18 days.
Pathogenesis : In mild cases of liver
coccidiosis there may be no signs, but in
more severe ones the animals lose their
appetites and grow thin. There may be
diarrhea, and the mucous membranes may
be icteric. The disease is more severe in
young animals than in old. It may be
chronic, or death may occur in 21 to 30
days.
Some of the symptoms are due to in-
terference with liver function. The liver
may become markedly enlarged, and white
circular nodules or elongated cords appear
in it. At first they are sharply circum-
scribed, but later they tend to coalesce.
They are enormously enlarged bile ducts
filled with the developing parasites.
There is tremendous hyperplasia of the
THE TELOSPORASIDA AND THE COCCIDIA PROPER
197
bile duct epithelial cells. Instead of form-
ing a simple, narrow tube, the epithelium
is thrown into great, arborescent folds,
and each cell contains a parasite.
Dunlap, Dickson and Johnson (1959)
found that infection with E. stiedae in-
creased the serum /3- and y-globulin and
i3-lipoprotein and decreased the a-lipo-
protein.
EIMERIA MAGNA
PERARD, 1925
Synonyms: Eimeria p erf or ans var.
magna.
Hosts : Domestic rabbit, California
jack rabbit {Lepus calif ornicus), varying
hare (L. tiniidus), European hare (L.
europaeus), cottontail (Sylvilagus flori-
danus) (experimental).
Location : Jejunum, ileum.
Geographic Distribution : Worldwide.
Prevalence : This species is quite
common. Kessel and Jankiewicz (1931)
found it in 19% of over 2000 rabbits in
California.
Morphology : The oocysts are ovoid
or ellipsoidal, becoming subspherical
toward the end of the patent period,
smooth, orange-yellow or brownish, and
27 to 41 by 17 to 29 ;j with a mean of 35
by 24jLL. The micropyle is large and sur-
rounded by prominent shoulders. An
oocyst polar granule is absent. An oocyst
residuum is present. The sporocysts are
elongate ovoid, with a Stieda body. A
sporocyst residuum is present. The
sporulation time is 2 to 3 days. Oocyst
variation was studied carefully by Kheisin
(1947).
Life Cycle : Rutherford (1943) des-
cribed the life cycle of this species. The
endogenous stages are found below the
epithelial cell nuclei of the villi and also
in the submucosa. There are 2 asexual
generations of merozoites followed by
microgamete and macrogamete production.
It takes 7 days for completion of the endo-
genous cycle, and the prepatent period is
7 to 8 days. According to Kheisin (1947),
E. magna produces 800,000 oocysts per
oocyst fed.
Pathogenesis : This is one of the
most pathogenic of the intestinal coccidia
of the rabbit. Only a few hundred oocysts
of some strains may produce symptoms,
and 300,000 may cause death (Lund, 1949).
Other strains are less pathogenic, 1 mil-
lion oocysts not causing death. The prin-
cipal signs are loss of weight, inappetance
and diarrhea. A good deal of mucus may
be passed. The animals lose their appe-
tites and grow thin. The intestinal mucosa
is hyperemic and inflamed, and epithelial
sloughing may occur.
EIMERIA PERFORANS
(LEUCKART, 1879)
SLUITER AND SWELLENGREBEL, 1912
Synonyms : Coccidium perforans,
Eimeria exigiia, E. Jugdunumensis.
Hosts : Domestic rabbit, varying
hare {Lepus americanus), east Greenland
hare (L. arcticus groenlandicus), Califor-
nia jack rabbit (L. calif ornicus), European
hare {L. europaeus), Brazilian cottontail
{Sylvilagus brasiliensis), cottontail {Syl-
vilagus floridanus) (experimentally).
Location : Thruout small intestine
and also in cecum.
Geographic Distribution : Worldwide.
Prevalence : Common. Kessel and
Jankiewicz (1931) found it in 30% of over
2000 rabbits in California.
Morphology : The oocysts are
ellipsoidal, sometimes ovoid, smooth,
colorless to pinkish, 24 to 30 by 14 to
20jLi with a mean of 26 by lOju . A
micropyle is absent. An oocyst polar
granule is absent. An oocyst residuum
is present. The sporocysts are ovoid,
with a Stieda body. A sporocyst residuum
is present. The sporulation time is
2 days.
198
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Life Cycle : Rutherford (1943) des-
cribed the life cycle of this species. The
endogenous stages are found above the
nuclei of the epithelial cells of the intes-
tine. There are 2 asexual generations of
merozoites, followed by microgamete and
macrogamete production. Completion of
the endogenous cycle takes 5 days, and
the prepatent period is 5 to 6 days.
Pathogenesis : E. perforans is one
of the less pathogenic intestinal coccidia
of rabbits, but it may nevertheless cause
mild to moderate signs if the infection is
heavy enough. The duodenum may be en-
larged and edematous, sometimes chalky
white; the jejunum and ileum may contain
white spots and streaks, and there may
be petechiae in the cecum.
production. Completion of the endogenous
cycle takes 6 days, and the prepatent per-
iod is 5 to 6 days. According to Kheisin
(1947), E. media produces 150, 000 oocysts
per oocyst fed.
Pathogenesis : This species is moder-
ately pathogenic (Pelle'rdy and Babos, 1953).
It may cause the usual signs of intestinal
coccidiosis. The affected parts of the in-
testine may be edematous, with greyish
foci.
EIMERIA IRRESIDUA
KESSEL AND JANKIEWICZ, 1931
Hosts : Domestic rabbit, California
jack rabbit {Lepus calif ornicus), white-
tailed jack rabbit (L. loivnsendii).
EIMERIA MEDIA
KESSEL, 1929
Synonym: Eimeria flavescens.
Hosts : Domestic rabbit, California
jack rabbit (Lepus californicus), cotton-
tail {Sylvllagiis floridamis), Wyoming
cottontail (S. niiltallii grangeri).
Location: Thruout small and large
intestines.
Geographic Distribution : Worldwide.
Prevalence : Quite common. Kessel
and Jankiewicz (1931) found it in 12% of
over 2000 rabbits in California.
Morphology : The oocysts are ovoid,
smooth, 19 to 33 by 13 to 21 jii . A micro-
pyle is present. An oocyst polar granule
is absent. An oocyst residuum is present.
The sporocysts are elongate ovoid, with a
Stieda body. A sporocyst residuum is
present. The sporulation time is 2 days.
Life Cycle : Rutherford (1943) and
Pellerdy and Babos (1953) described the
life cycle of this species. The endogenous
stages are found above or below the epi-
thelial cell nuclei of the intestinal villi
and also occur in the submucosa. There
are 2 asexual generations of merozoites
followed by microgamete and macrogamete
Location : Thruout small intestine.
Geographic Distribution: Worldwide.
Prevalence : Quite common. Kessel
and Jankiewicz (1931) found this species
in 10% of over 2000 rabbits in California.
Morphology : The oocysts are ovoid,
smooth, and 38 by 26 jm. The micropyle
is prominent. An oocyst polar granule
and oocyst residuum are absent. The
sporocysts are elongate ovoid, with a
Stieda body. A sporocyst residuum is
present. The sporulation time is 2 to 2. 5
days.
Life Cycle : Rutherford (1943) des-
cribed the life cycle of this species. The
endogenous stages are found above or be-
low the epithelial cell nuclei of the intes-
tinal villi and also occur in the submucosa.
There are 2 asexual generations of mero-
zoites followed by microgamete and macro-
gamete production. Completion of the
endogenous cycle takes 9 to 10 days, and
the prepatent period is 9 to 10 days.
Pathogenesis : This is one of the
more pathogenic of the intestinal coccidia
of rabbits. It causes the usual signs of
intestinal coccidiosis. The affected areas
are hyperemic, there may be extravasation
of blood, and the epithelium may slough
and become denuded.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
199
EIMERIA PIRIFORMIS
KOTLAN AND POSPESCH, 1934
Host : Domestic rabbit.
Location: Small and large intestines.
Geographic Distribution :
(France, Hungary).
Europe
Prevalen ce:
This species
Relatively uncommon.
has been found in both wild
and captive domestic rabbits.
Morphology : The oocysts are piri-
form to ovoid, smooth, yellowish brown,
26 to 32 by 17 to 21 ji with a mean of 29
by 18jn. A micropyle is present. An
oocyst polar granule and oocyst residuum
are absent. A sporocyst residuum is
present. The sporulation time is 2 days.
Life Cycle : The life cycle of this
species does not appear to have been
worked out in detail. The life cycle des-
cribed by Pellerdy (1953) for "E. piri-
fovDiis" is actually that of E. intestinalis.
The prepatent period is 9 days.
Pathogenesis: Unknown.
The sporozoites are elongate ovoid, with
a Stieda body. The sporulation time is 2
to 3 days.
Life Cycle : The endogenous cycle of
this species has not been described.
Pathogenesis : This species is
slightly to markedly pathogenic, depending
upon the extent of the infection. The af-
fected intestinal mucosa is inflamed and
hyperemic, and caseous necrosis may be
present.
Remarks : Pelle'rdy (1954a) found a
coccidium which he believed to be E.
neoleporis in domestic rabbits in Hungary
and described its pathogenic effects. He
believed that E. coecicola was a synonym
of this species and he may be right.
Carvalho (1942) transmitted E. neoleporis
from the cottontail to the domestic rabbit.
However, for the present I am using the
name E. neoleporis for the cottontail form
alone.
EIMERIA COECICOLA
CHEISSIN, 1946
Host: Domestic rabbit.
EIMERIA NEOLEPORIS
CARVALHO, 1942
Hosts : Cottontail (Sylvilagus flori-
danus), domestic rabbit (experimentally).
Location : Posterior part of small
intestine, large intestine.
Geographic Distribution : North
America.
Prevalence : Common in cottontails.
Ecke and Yeatter (1956) found this species
in 31% of 32 cottontails in Illinois.
Location : Posterior ileum, cecum.
Geographic Distribution : Europe
(Hungary), USSR.
Prevalence : This species is appar-
ently rare in captive domestic rabbits, but
is common in wild ones.
Morphology : The oocysts are ovoid,
sometimes ellipsoidal, smooth, light yel-
low, 25 to 40 by 15 to 21 |j, . A micropyle
is present. An oocyst polar granule is
absent. Oocyst and sporocyst residua are
present. The sporulation time is 3 days.
Morphology : The oocysts are sub-
cylindrical or elongate ellipsoidal to ovoid,
smooth, pinkish yellow, 33 to 44 by 16 to
23 [I with a mean of 39 by 20 jix . A micro-
pyle is present. An oocyst polar granule
is absent. An oocyst residuum is usually
absent. A sporocyst residuum is present.
Life Cycle : Kheisin (1947) described
the life cycle of this species. The schi-
zonts are found in the epithelial cells of
the villi of the posterior ileum, and the
gametes and gametocytes are below the
host cell nuclei of the crypt cells of the
cecum. The prepatent period is 9 days,
200
THE TELOSPORASIDA AND THE COCCIDIA PROPER
and 100,000 oocysts are produced per
oocyst fed.
Pathogenesis : According to Kheisin
(1947), this species is slightly if at all
pathogenic. He saw small white spots in
the cecum which were groups of developing
oocysts.
EIMERIA ELONGATA
MAROTEL AND GUILHON, 1941
Synonym : Eimeria neoleporis
Carvalho, 1942 (?).
Host : Domestic rabbit.
Location : Unknown, presumably in-
testine.
Geographic Distribution : Europe
(France).
Prevalence : Unknown.
Morphology : The oocysts are slightly
greyish, elongate ellipsoidal with almost
straight sides, 35 to 40 by 17 to 20 fi . The
oocyst wall is thin. The micropyle is
broad and easily visible. An oocyst polar
granule and oocyst residuum are absent.
The sporocysts are elongate. A sporo-
cyst residuum is present, and almost as
long as the sporocysts. The sporulation
time is 4 days.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : Becker (1956) believed
that this species and E. neoleporis from
the cottontail might be the same, and I
agree. However, it is probably best to
retain both names pending further research.
EIMERIA INTESTINALIS
KHEISIN, 1948
Synonyms : Eimeria agnosia,
Eimeria piri/or)nis Gwelessiany and
Nadiradze, 1945; non E. piriformis Kotlan
and Pospesch, 1934.
Host: Domestic rabbit.
Location: Small intestine except
anterior duodenum.
Geographic Distribution :
(Hungary), USSR.
Europe
Prevalence : Relatively uncommon.
Morphology : The oocysts are piri-
form, smooth, yellowish, 21 to 36 by 15
to 21/i. A micropyle is present. An
oocyst polar granule is absent. An oocyst
residuum is present. The sporulation
time is 1 to 2 days. Kheisin (1958) made
a cytochemical study of the oocysts and
endogenous stages of this species.
Life Cycle : Pelle'rdy (1953) des-
cribed the life cycle of this species under
the name E. piriformis. The endogenous
stages occur above or sometimes beside
the nuclei of the epithelial cells of the
small intestine. There are at least 2 gen-
erations of merozoites. The prepatent
period is 9 days.
Pathogenesis : According to Pellerdy
(1953, 1954), experimental infections with
this species cause more or less severe
intestinal catarrh and diarrhea, and may
kill young rabbits. At necropsy, edema
and greyish-white foci which may coalesce
to form a homogeneous, sticky, purulent
layer may be found in the intestine.
EIMERIA MATSUBAYASHII
TSUNODA, 1952
Host : Domestic rabbit.
Location : Primarily ileum.
Geographic Distribution : Japan.
Prevalence : Unknown.
Morphology : The oocysts are
broadly ovoid, 22 to 29 by 16 to 22 ^l with
a mean of 25 hy IS^i . A micropyle is
present. An oocyst residuum is present.
The presence or absence of an oocyst
polar granule and a sporocyst residuum
THE TELOSPORASIDA AND THE COCCIDIA PROPER
201
are unknown,
to 2 days.
The sporulation time is 1. 5
Life Cycle : Unknown.
Pathogenesis : According to Tsunoda
(1952), this species may be slightly to
moderately pathogenic, causing a diphther-
itic enteritis.
COCCIDIOSIS IN DOMESTIC RABBITS
Epidemiology : The most important
species of rabbit coccidium is Eimeria
stiedae, which occurs in the liver. All
the other species are found in the intestine.
Of these, the most important are E.
residua, E. magna, E. media a.nd E. per-
f oralis. Kheisin (1957) has assembled in-
formation on the localization of the intes-
tinal species.
Coccidiosis is primarily a disease of
young rabbits; adults are carriers. Rab-
bits become infected by ingesting oocysts
along with their feed or water. The se-
verity of the disease depends upon the
number of oocysts they ingest and also
upon the species involved. Mixed infec-
tions are the rule, infections with a single
species usually being seen only under
laboratory conditions. Crowding and lack
of sanitation greatly increase the disease
hazard.
Some of the coccidia of the domestic
rabbit {Oryctolagus cnniculiis) also occur
in cottontails {Sylvilagiis spp. ). Some
have also been reported from jack rabbits
and hares (Lepus spp. ). However, after
reviewing the cross-transmission studies
carried out to date, Pelle'rdy (1956a) con-
cluded that, except for E. stiedae, none
of the coccidia of jack rabbits and hares
occur in domestic rabbits and cottontails,
and none of the coccidia of the latter two
genera occur in Lepus. If this conclusion
is confirmed, the listing above of Lepus
as a host of E. niagna, E. perforans,
E. media and E. irresidua would be in-
correct. Further cross-transmission
experiments are needed to settle this
matter.
Diagnosis : Liver coccidiosis can be
diagnosed by finding the characteristic
lesions containing coccidia. Intestinal
coccidiosis can be diagnosed by finding
the coccidia on microscopic examination.
However, the mere presence of these
parasites in a case of enteritis does not
mean that they caused it. Many rabbits
carry a few coccidia without suffering any
noticeable effects. In a 3-year study of
mortality among hutch-raised domestic
rabbits in California, Lund (1951) consid-
ered coccidiosis to be the cause of enter-
itis in only 80 out of 1541 affected animals.
Treatment : Some of the sulfonamides
have been found helpful in preventing coc-
cidiosis if given continuously in the feed
or drinking water. Succinylsulfathiazole,
sulfamerazine or sulfamethazine mixed
with the feed at the rate of 0.5% have been
recommended (Horton-Smith, 1947; Ger-
undo, 1948), as have been 0.02 to 0.05%
sodium sulfaquinoxaline or sodium sulfa-
merazine in the drinking water. Lund
(1954) found that the administration of
0. 03% sulfaquinoxaline in the feed con-
trolled E. stiedae infections effectively if
begun not more than 4 days after exper-
imental infection. The drug was not com-
pletely effective at this level, but it did
give practical control. Lund stated further
that this drug had not been found to harm
rabbits when fed continuously.
However, long-term, continuous feed-
ing of such drugs is not particularly de-
sirable, nor is it usually necessary. It
has been the usual experience with poultry,
and there is evidence that the same thing
is true with rabbits (see Horton-Smith,
1947), that if the hosts are exposed to
coccidiosis during the drug-feeding period
(as they usually are), an aborted infection
occurs which is sufficient to induce immun-
ity. The drug can then be safely stopped.
Prevention : Coccidiosis can be pre-
vented by proper management (see Lund,
1949). Feeders and waterers should be
designed so that they do not become con-
taminated with droppings, and should be
kept clean. Hutch floors should be self-
cleaning or should be cleaned frequently
202
THE TELOSPORASIDA AND THE COCCIDIA PROPER
and kept dry. Manure should be removed
frequently. The animals should be han-
dled as little as possible, and care should
be taken not to contaminate either the
animals themselves or their food, utensils
or equipment. In addition, the rabbitry
should be kept as free as possible of in-
sects, rodents and other pests.
EIMERIA TEN ELLA
(RAILLIET AND LUCET, 1891)
FANTHAM, 1909
Synonyms : Eimeria avium, Coccid-
ium teiiellion, Coccidiu»i globosum,
Eimeria bracheti.
Host : Chicken.
Location: Ceca.
Geographic Distribution : Worldwide.
Prevalence : Very common.
Morphology : The oocysts are broadly
ovoid, smooth, 14 to 31 by 9 to 25 ^t with
a mean of 22. 9 by 19. 1 p. . A micropyle is
absent. An oocyst polar granule is pres-
ent. An oocyst residuum is absent. The
sporocysts are ovoid, without a sporocyst
residuum.
The sporulation time is 1 to 2 days.
Edgar (1954) found that the minimum spor-
ulation time is 18 hours at 29° C, 21 hours
at 26. 5 to 28 and 24 hours at 20, 24 and
32 . Maximum sporulation was reached
in 22 to 24 hours at 29 , the optimum
temperature. Some sporulation took place
at 41 ° . When the oocysts were kept at 8°
they failed to sporulate in 8 weeks and
most were killed, so that only a few spor-
ulated when they were subsequently held
at 28°.
Life Cycle : The life cycle of E.
tenella has already been described as an
example of coccidian life cycles (p. 160).
Pathogenesis : This is the most
pathogenic of the chicken coccidia and is
responsible for heavy losses. Together
with the other species, it was estimated
by the USDA (1954) to cause an annual loss
of $38, 229, 000 in the United States due to
death and disease alone. To this should be
added the cost of the medicated feeds which
are generally fed to poultry, and various
labor and other costs entailed by disease
outbreaks.
Cecal coccidiosis is found most fre-
quently in young birds. Chicks are most
susceptible at 4 weeks of age, while chicks
1 to 2 weeks old are more resistant (Gardi-
ner, 1955). However, day-old chicks can
be infected (Gordeuk, Bressler & Glantz,
1951). Older birds develop immunity as
the result of exposure.
Coccidiosis due to E. tenella may vary
in severity from an inapparent infection to
an acute, highly fatal disease, depending
upon the infective dose of oocysts. The
pathogenicity of different strains of E.
tenella varies, and it is affected also by
the breed and age of the chickens and their
state of nutrition. Thus, Jankiewicz and
Scofield (1934) found that less than 150
sporulated oocysts produced no signs, 150
to 500 oocysts produced slight hemorrhagic
diarrhea, 1000 to 3000 oocysts produced
moderate hemorrhage and a few deaths,
3000 to 5000 oocysts produced marked
hemorrhage and moderate mortality, and
more than 5000 oocysts produced severe
hemorrhage and high mortality. However,
Horton-Smith(1949) found that infections
with 15,000 oocysts caused no mortality
in week-old birds, 30,000 oocysts caused
32% mortality and 60, 000 oocysts caused
45% mortality. Swales (1944) found that
in 6-week-old chickens 15,000 oocysts
caused 40% mortality, 30,000 oocysts
caused 44%i moi'tality and 200, 000 oocysts
caused 80% mortality, while in 4. 5-week-
old chicks 120,000 oocysts caused 90%
mortality and in 12-week-old chicks
100,000 oocysts caused 50'( mortality.
Waletzky and Hughes (1949) found that in
one experiment 20.000 oocysts produced
18-'; mortality and 100. 000 oocysts 36%.
mortality in 4-weck-old chicks, while in
other experiments 50, 000 oocysts produced
45*'( mortality in 7-week-old chicks,
100,000 oocysts produced 67'r mortality in
4- to 5-week-old chicks and 500,000
oocysts produced 48% mortality in 3- to
THE TELOSPORASIDA AND THE COCCIDIA PROPER
203
6-week-old chicks. Gardiner (1955) found
that 200, 000 oocysts were required to pro-
duce mortality in 1- to 2-week-old chicks,
while 50,000 to 100,000 oocysts produced
mortality in older birds.
Cecal coccidiosis is an acute disease
characterized by diarrhea and massive
cecal hemorrhage. The first signs appear
when the second generation schizonts be-
gin to enlarge and produce leakage of
blood into the ceca. Blood first appears
in the droppings 4 days after infection.
At this time the birds appear listless.
They may become droopy and inactive,
and eat little, altho they still drink. The
greatest amount of hemorrhage occurs on
the 5th and 6th days after infection. It
then declines, and oocysts appear in the
feces 7 days after infection if the birds
live that long. The oocysts increase to a
peak on the 8th or 9th day and then drop
off very rapidly. Very few are still being
shed by the 11th day. A few oocysts may
be found for several months.
Coccidiosis is self-limiting, and if
the birds survive to the 8th or 9th day
after infection, they generally recover.
The lesions of cecal coccidiosis de-
pend upon the stage of the disease. They
have been described by Tyzzer (1929),
Tyzzer, Theiler and Jones (1932) and
Mayhew (1937). On the fourth day after
infection, hemorrhage is present thruout
the cecal mucosa. On the fifth day, the
cecum is filled with large amounts of un-
clotted or only partly clotted blood. This
increases on the sixth day. Cecal cores
of fibrinous and necrotic material begin
to form on the 7th day. They adhere
tightly to the mucosa at first, but soon
come loose and lie free in the lumen.
About 7 days after infection, the wall
of the cecum changes color from red to
mottled reddish or milky white due to the
formation of oocysts. It is greatly thick-
ened. The cecal core, which was at first
reddish, becomes yellowish or whitish.
If it is small enough, it may be passed in-
tact in the feces, but usually it is broken
up into small pieces. In a few days the
cecum becomes normal in appearance or
at most slightly enlarged and thickened.
Occasionally the cecum may rupture or
adhesions may form.
About the 4th day, when the second
generation schizonts are developing, the
lamina propria becomes infiltrated with
eosinophiles, there is marked congestion,
and the cecal wall is thickened. The
epithelium may be torn and coccidia, blood
and tissue cells may be released into the
lumen in areas where there are large
numbers of parasites. On the 5th day,
when the second generation merozoites
are released, their host cells are ruptured
and there is extensive epithelial sloughing.
The sloughed material and cecal contents
consolidate to form the cecal core, which
loosens from the wall as the epithelium is
regenerated.
Epithelial regeneration is complete in
light infections, but in severe ones it may
not be. There is a marked inflammatory
reaction, with extensive lymphoid and
plasma cell infiltration, and there may be
some giant cells. Connective tissue is in-
creased. The epithelium may not be re-
placed between the glands, and cysts
formed by constriction of the glands during
the inflammatory stage may persist.
The loss of blood into the ceca causes
anemia. Using the microhematocrit tech-
nic, Joyner and Davies (1960) found that
the packed red cell volume decreased
markedly beginning 5 days after experi-
mental infection. From an original level
of 26 to 29% it decreased to 18% and 14%,
respectively, 7 days after infection with
2000 and 10,000 oocysts. It had returned
to normal 5 days later.
Natt (1959) found that E. tenella
causes marked changes in the leucocyte
picture. He observed lymphopenia and
heterophilia on the 5th day, and eosino-
philia on the 10th day after infection. A
marked leucocytosis began on the 7th day
and persisted thru the recovery phase.
Birds which recover from coccidiosis
may suffer ill effects for some time or
even permanently. Gardiner (1954) found
an inverse correlation between growth
204
THE TELOSPORASIDA AND THE CCXTCIDIA PROPER
rate and severity of cecal coccidiosis.
Chicks which recovered following severe
infection made much poorer weight gains
than mildly affected ones. Mayhew(1932,
1932a, 1934) found that it took 10 weeks
to 6 months after recovery before in-
fected birds regained the weight they had
lost in comparison with uninfected con-
trols. He found, too, that pullets which
had been infected when 6 to 8 weeks old
laid 19.25% fewer eggs than the controls.
In addition, severely affected birds began
to lay 6 to 7 weeks later than the controls.
Davidson, Thompson and Morre (1936)
compared a group of chickens which was
passing oocysts with another group which
was not. Over a period of 11 months, the
positive group had a 12. 1% higher mor-
tality, while the negative group averaged
0. 44 pounds heavier than the positive one
and had a 15.2% higher egg production.
Bressler and Gordeuk (1951) found, in a
flock of Single Comb White Leghorn chick-
ens which had survived a mortality of
8. 3% due to cecal coccidiosis, that weight
gains were slightly less than in a "control"
group fed 0.0125% sulfaquinoxaline con-
tinuously which had not suffered an out-
break of the disease, but that neither egg
production nor hatchability were impaired.
EIMERIA NECATRIX
JOHNSON, 1930
Host : Chicken.
Location: The first and second gen-
eration schizonts are found in the small
intestine and the third generation schizonts,
gametes and gametocytes in the ceca.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The oocysts are oblong
ovoid, 12 to 29 by 11 to 24/1 with a mean
of20byl7/i (Becker e/ aZ. , 1956). The
oocyst wall is smooth and colorless, with-
out a micropyle. An oocyst polar granule
is present. An oocyst residuum is absent.
The sporocysts are elongate ovoid, with
a Stieda body. A sporocyst residuum is
absent. The sporulation time is 2 days
(18 hours at 29'' C according to Edgar,
1955).
Life Cycle : Chickens become in-
fected by ingesting sporulated oocysts.
When the sporozoites emerge. Van Door-
ninck and Becker (1957) found that they
first enter the epithelial cells of the villi
in the small intestine, pass thru the
epithelium into the lamina propria or core
of the villus and migrate toward the mus-
cularis mucosae. Most of them are en-
gulfed by macrophages en route and are
transported by them to the epithelial cells
of the fundus. The macrophages invade
these cells and appear to disintegrate
during or after the invasion process, leav-
ing the sporozoites unharmed. These then
round up to form first generation schizonts.
The remainder of the life cycle has
been studied by Johnson (1930) and Tyz-
zer, Theiler and Jones (1932). Both the
first and second generation schizonts are
found above the host cell nuclei in the
epithelial cells of the gland fundi. The
first generation merozoites are liberated
2. 5 to 3 days after infection and enter ad-
jacent epithelial cells. The second gen-
eration schizonts are relatively large,
measuring 39 to 66 by 33 to 54 fi with a
mean of 52 by 38 /n . Most of the second
generation merozoites are liberated 5 to
8 days after infection, but a few may still
be liberated as long as 23 days after in-
fection. They measure 8 to 11 by 1. 5 to
2. /J with a mean of 9 by 2 /ii . They pass
to the cecum, where they penetrate the
epithelial cells, coming to lie below the
host cell nuclei, and turn into third gen-
eration schizonts. Most of them are
found in the surface epithelium, but some
enter the glandular epithelium. Multiple
infections of a cell with 3 or 4 schizonts
may occur. These third generation schi-
zonts are relatively small and contain only
6 to 8 or a maximum of 16 third genera-
tion merozoites. It is not certain whether
there is more than one asexual generation
in the cecum.
The third generation and some of the
second generation merozoites enter other
cecal epithelial cells and become macro-
gametes or microgametocytes. These
THE TELOSPORASIDA AND THE COCCIDIA PROPER
205
also lie below the host cell nuclei. Micro-
gametes develop from the microgameto-
cytes, fertilization takes place, and
oocysts form and are released. The pre-
patent period is 7 days, and the patent
period is about 12 days.
Brackett and Bliznick (1952a) reported
that the number of oocysts produced by E.
necatrix per oocyst fed ranged from 1 5 in
a group of chicks infected with 35,000
oocysts each to 58,000 in another group in
which the infective dose was 50 oocysts.
Pathogenesis : Next to E. teiiella,
this is the most pathogenic and important
species of chicken coccidium. Indeed,
with the decrease in importance of E.
tenella due to the use of coccidiostatic
drugs, E. necatrix has come to the fore
in many areas as the cause of more losses
than E. tenella.
E. necatrix is often said to cause a
more chronic type of coccidiosis than E.
tenella. This is not because it runs a
longer course, but because it produces so
much scar tissue in the small intestine
that its effects are more lasting.
The pathogenesis of E. necatrix has
been studied especially by Tyzzer, Theiler
and Jones (1932). The principal lesions
are in the small intestine, the middle
third of which is most seriously affected.
Small, white, opaque foci are found here
by the fourth day after infection. They
are composed of second generation schi-
zonts developing deep in the mucosa.
They are so deep that they can be seen
thru the serosa but not from the mucosal
surface of the intestine. They are seldom
more than a millimeter in diameter, but
may coalesce and thus appear larger.
Severe hemorrhage may appear on the
5th or 6th days. The small intestine may
be markedly swollen and filled with clotted
or unclotted blood. Its wall is greatly
thickened, dull red, and many petechial
hemorrhages appear in the white, opaque
foci which by now contain second genera-
tion merozoites. The gut wall may lose
contractility, become friable and even
appear gangrenous. The epithelium may
slough, and by the end of the 6th day a
network of fibrin containing mononuclear
cells appears in the destroyed areas.
This is later replaced by connective tissue,
and permanent scarring results which in-
terferes with intestinal absorption.
There is less anemia than in E.
tenella infections. Using the microhema-
tocrit technic, Joyner and Davies (1960)
found that the packed red cell volume de-
creased from 28% to 23% seven days after
experimental infection with 20, 000 oocysts,
and to 25%) after infection with 10, 000
oocysts, but that there was no significant
decrease after infection with 1000 oocysts.
The hematocrit levels had not returned to
the original level 12 days after infection.
The ceca are not seriously affected.
They may be contracted and their contents
may be dehydrated.
Death usually occurs 5 to 7 days after
infection. Many of the birds which recover
remain unthrifty and emaciated. The
after-effects of this type of coccidiosis are
often so long- lasting that it is not worth-
while to keep birds which have recovered
from severe attacks.
Brackett and Bliznick (1950, 1952)
found that inoculation with 25,000 to
50,000 oocysts (a relatively small number)
caused a high degree of mortality in young
chickens. Following inoculation with equal
numbers of oocysts, young birds are more
severely affected than older ones, but if
the inocula are calculated on a weight basis,
older birds may be more severely affected
than younger ones. In 3-week-old chicks,
25, 000 oocysts caused a mortality of 87%,
while in 4-week-old chicks, 18,000, 37,000,
75,000 and 150,000 oocysts caused mor-
talities of 8, 75, 85 and 61%, respectively.
EIMERIA BRUNETTI
LEVINE, 1942
Host : Chicken.
Location : First generation schizonts
occur thruout the small intestine. Second
generation schizonts, gametes and gameto-
cytes occur in the posterior small intes-
tine, rectum, ceca and cloaca.
206
THE TEIOSPORASIDA AND THE COCCIDIA PROPER
Geographic Distribution : North
America.
Prevalence : Uncommon.
Morphology : P. P. Levine (1942)
described this species, and Becker, Zim-
mermann and Pattillo (1955) made a bio-
metric study of its oocysts. The oocysts
are ovoid, smooth, 14 to 34 by 12 to 26 /j.
with a mean of 23 by 20 /i. A micropyle
is absent. An oocyst polar granule is
present. An oocyst residuum is absent.
The sporocysts are elongate ovoid, about
13 by 7. 5(1, with a Stieda body. A sporo-
cyst residuum is present. The sporulation
time is 1 to 2 days. Edgar (1955) found
infective oocysts as early as 18 hours at
24" C.
Life Cycle : The life cycle of this
species was described by Boles and
Becker (1954). The sporozoites are liber-
ated in the intestine and invade the epithel-
ial cells of the villi. They round up to
become first generation schizonts, which
lie below the host cell nuclei on the sides
of the villi of the upper, middle and lower
small intestines. They are present 51 to
76 hours after infection, measure 30 by
20j^L, and contain approximately 200 first
generation merozoites when mature.
These invade other cells in the posterior
small intestine, rectum, tubular part of
the ceca and cloaca. They are found pri-
marily at the tips of the villi, and usually
lie below the host cell nuclei. They turn
into second generation schizonts, which
are present 4 days after infection. These
average 30 by 16/i and contain 50 to 60
merozoites. Small schizonts about 10 by
9/j. were also seen on the 4th day, but
their significance was not determined.
The second generation merozoites in-
vade fresh cells in the lower small intes-
tine, ceca, rectum and cloaca and turn
into sexual stages. These first appear on
the 5th day and lie at the tips and sides of
the villi, either above the host cell nuclei
or on the basement membrane. The micro-
gametocytes have a multicentric appear-
ance, and are larger than the macroga-
metes, which measure about 25 by 22|:i.
The macrogametes contain eosinophilic
plastic granules which later coalesce and
form the oocyst wall.
The prepatent period is 5 days.
Brackett and Bliznick (1952) found
that E. brunetti could produce a maximum
of 400,000 oocysts per oocyst fed. This
figure was obtained in 2- to 3-week-old
chickens fed 50 oocysts each. With larger
inocula, relatively fewer oocysts were ob-
tained. With inocula of 250, 1250, 6250,
20, 000 and 40, 000 oocysts, respectively,
150,000, 26,000, 7000, 800 and 400 oocysts
were produced per oocyst fed.
Pathogenesis : E. briinelli is mark-
edly pathogenic, but its effects depend upon
the degree of infection. In light infections,
no gross lesions may be seen. In heavier
infections, Levine (1942) found that the gut
wall becomes thickened and a pink or blood-
tinged catarrhal exudate appears 4 or 5
days after experimental infection: the drop-
pings are quite fluid and contain blood-
tinged mucus and many mucus casts. The
birds become somewhat depressed. These
signs continue for 5 days and then subside
if the birds recover.
In early or light infections, hemor-
rhagic, ladder-like streaks are present on
the mucosa of the lower intestine and rec-
tum. In heavy infections, a characteristic
necrotic enteritis appears. It may involve
the entire intestinal tract, but is more often
found in the lower small intestine, large
intestine and tubular part of the ceca. A
patchy or continuous, dry, caseous necrotic
membrane may line the intestine, and the
intestine may be filled with sloughed, ne-
crotic material. Circumscribed white
patches may be visible thru the serosa,
and there may even be intestinal perfora-
tion with resultant peritonitis.
Boles and Becker (1954) did not ob-
serve the extensive coagulation necrosis
described by Levine (1942) in their experi-
mentally infected chicks, but the other
lesions were similar to those of his moder-
ately infected birds. The birds became
listless 82 hours after infection, and pe-
techial hemorrhages were found, mostly
in the lower small intestine but also in the
THE TELOSPORASIDA AND THE COCCIDIA PROPER
207
middle and upper small intestine. These
became more severe the next day but had
disappeared from the upper and middle
intestine. The lower small intestine and
large intestine were hyperemic and hem-
orrhagic, there was epithelial sloughing,
and the intestinal contents were watery
and blood-tinged. The tubular part of the
ceca was involved, and the dilated portion
was plugged with dehydrated material. The
epithelial denudation was most probably
caused by the asexual stages, and was
most prominent on the 4th day. Signs of
illness continued until the 6th day.
Field outbreaks of the disease were
studied by Levine (1943). The disease
occurs most commonly in chicks 4 to 9
weeks old. The mortality is high, and
typical necrotic lesions are present. We
have seen the same condition in field out-
breaks in Illinois.
EIMERIA ACERVULINA
TYZZER. 1929
Host : Chicken.
Location : Anterior small intestine.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The oocysts are ovoid,
smooth, 12 to 23 by 9 to 17 jii with a mean
of 16 by 13 p.. A micropyle is absent. An
oocyst polar granule is present. An
oocyst residuum is absent. The sporocysts
are ovoid, with a Stieda body but without a
sporocyst residuum. The sporulation
time is 1 day. Edgar (1955) found that the
minimum sporulation time for this species
at 28° C was 17 hours.
Life Cycle : The life cycle of this
species was described by Tyzzer (1929).
The schizonts are found in the epithelial
cells of the villi of the anterior small in-
testine, where they lie above the host cell
nuclei. The gland cells may also be in-
vaded. Sometimes more than one parasite
is found in a cell. The schizonts produce
16 to 32 merozoites which measure about
6 by O.SjLL. There are at least 2 and pos-
sibly more asexual generations. Asexual
reproduction lasts longer than in E. teiiella.
The sexual stages occur above the
host cell nuclei in the epithelial cells of
the villi and to a lesser extent in the gland
cells in the anterior small intestine. They
first appear 4 days after infection. The
microgametocytes are relatively small,
measuring 11 by 9ju.
The prepatent period is 4 days, and
oocysts continue to be produced for rela-
tively longer than with some other chicken
coccidia.
Brackett and Bliznick (1950) found
that the maximum number of oocysts pro-
duced per oocyst fed in their studies was
72, 000. This occurred in a group of 3-
week-old birds fed 2000 oocysts each. In
another experiment in which similar birds
were fed the same number of oocysts,
only 35,000 oocysts were produced per
oocyst fed. Oocyst production was lower
with both larger and smaller inocula.
Following inoculation with 200, 10,000 and
20,000 oocysts, respectively, 9000,35,000
and 7, 600 oocysts were produced per oocyst
fed.
Pathogenesis : E. acerindina is gen-
erally considered only slightly pathogenic,
but very large inocula may cause severe
signs and even death. Generally, however,
this species causes only a temporary set-
back. Dickinson (1941) found that admin-
istration of as many as 25 million oocysts
to pullets produced only a temporary drop
in weight and temporary cessation of egg
production. Between 4 and 9 days after
infection, the birds were droopy, ate rel-
atively little and passed slimy, mucoid
feces. Peterson (1949) reported losses
from E. acerindina infection in the Pacific
Northwest in older birds 3 to 4 weeks after
they had been brought in off the range and
placed in houses. The birds lost weight,
egg production ceased, the combs shriveled
and keratin pigment disappeared. There
were few if any deaths. After about 6
weeks the birds recovered and egg produc-
tion returned to normal.
208
THE TELOSPORASIDA AND THE COCCIDLA PROPER
Brackett and Bliznick (1950) found
that inoculation with 500,000 oocysts re-
duced weight gains of 2-week-old chicks.
Moynihan (1950) obtained similar results.
Becker (1959) found that 300,000 oocysts
produced only loss of appetite for 2 or 3
days and watery feces on the third day
after infection in White Leghorn chicks.
Morehouse and McGuire (1958) found that
infection of chicks with 100, 000 oocysts
retarded weight gains somewhat but did
not affect the final weight. Larger inocula
produced increasingly severe effects.
Single and multiple doses of 5 million or
more oocysts caused 6 to 75% mortality.
The lesions produced by B.acervulina
are not as marked as with E. necatrix.
The intestine may be thickened and a
catarrhal exudate may be present, but
hemorrhage is rare. The maturing
oocysts lie massed in limited areas, and
form whitish or grey spots or streaks
running transversely in the intestinal
mucosa. In heavy infections the entire
mucosa may be involved and may appear
greyish, mottled and somewhat thickened.
Morehouse and McGuire (1958) described
a severe inflammatory reaction in chicks
infected with 1 to 20 million oocysts. The
intestine was edematous and thickened,
with extensive vasodilation and marked
reddening of the mucosa, and there was
also degeneration or necrosis and slough-
ing of the intestinal epithelium.
EIMERIA MAXIMA
TYZZER, 1929
Host : Chicken.
Location : Middle and posterior
small intestine.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The oocysts are ovoid,
smooth or somewhat roughened, yellowish,
21 to 42 by 16 to 30 ji with a mean of 29 by
23 fx. A micropyle is absent. An oocyst
polar granule is present. An oocyst resi-
duum is absent. The sporocysts are
elongate ovoid, 15 to 19 by 8 to 9 /i , with
a Stieda body. A sporocyst residuum is
absent. The sporozoites are 19 by 4ji,
with a conspicuous retractile globule
(Long, 1959). The sporulation time is 2
days. Edgar (1955) and Long (1959) found
some infective oocysts as early as 30
hours at 28' C.
Life Cycle : The life cycle of this
species has been studied by Tyzzer (1929),
Scholtyseck (1959) and Long (1959), among
others. The schizonts are found above the
host cell nuclei or occasionally beside them
in the epithelial cells of the tips of the villi
of the duodenum and upper ileum. There
are 2 generations of schizonts, both of
which are relatively small, measuring
about 10 by 8 p.; they produce only about 8
to 16 merozoites each. Schizonts may be
present thru the 5th day. The second gen-
eration merozoites enter new epithelial
cells, where they round up and enter the
sexual phase of the life cycle.
The sexual stages are found beneath
the host cell nuclei. As they become
larger, the host cells are displaced toward
the center of the villus and come to lie in
its interior. The mature microgametoc3^es
measure 30 to 39 by 22 to 33 jj. and form a
large number of biflagellate microgametes.
The macrogametes are somewhat smaller,
averaging 19 by 15fj, (Long, 1959). After
fertilization, they lay down an oocyst wall,
break out of the villus and are passed in
the feces. The prepatent period is 5 to 6
days, and the patent period is only a few
days.
Brackett and Bliznick (1950, 1952)
reported that the maximum number of
oocysts produced per oocyst fed in their
experiments was 12,000. In a series of
3-week-old chicks, they found that 11,500,
2250 and 940 to 2900 oocysts were pro-
duced per oocyst fed when the inoculating
doses were 200, 2000 and 10,000 oocysts,
respectively.
Long (1959) found that the number of
oocysts produced per oocyst fed varied
with the age of the birds and the inoculum.
With an inoculum of 10,000 oocysts it
averaged 128, 33, 176, 448, 1049 and
THE TELOSPORASIDA AND THE COCCIDIA PROPER
209
3294, respectively, in chicks 3, 7, 14,
21, 28 and 42 days old, while with an in-
oculum of 80,000 oocysts it was 9, 31 and
169, respectively in chicks 7, 14 and 21
days old.
Pathogenesis : E. maxima is slightly
to moderately pathogenic. Tyzzer (1929),
Brackett and Bliznick (1950), Scholtyseck
(1959) and Long (1959) studied its effects
on chickens. The asexual stages cause
relatively little damage, the most serious
effects being due to the sexual stages.
Brackett and Bliznick (1950) observed a
mortality of 35% in one group of young
chicks infected with 500,000 oocysts each,
but there were no deaths in another group.
The survivors lost some weight and then
gained less than the controls for a time,
but infection with 100, 000 oocysts had no
significant effect on weight gains. Long
(1959) observed no deaths in a group of
6-week-old chicks infected with 500, 000
oocysts each or in three 17-day-old chicks
infected with 1 million oocysts each, altho
diarrhea was present and the infected
birds gained less than the controls. Im-
munity is quickly produced.
Berg, Hamilton and Bearse (1951)
found that inoculation of White Leghorn
laying pullets with 8000 oocysts each pro-
duced a mild infection and temporary
cessation of egg-laying.
The principal lesions are hemorrhages
in the small intestine. The intestinal
muscles lose their tone, and the intestine
becomes flaccid and dilated, with a some-
what thickened wall. Short, fine, hair-
like hemorrhages in the intestinal wall are
sometimes present. There is a catarrhal
enteritis and the intestinal contents are
viscid and mucoid, greyish, brownish,
orange or pinkish, occasionally but not
usually with flecks of blood.
Birds which recover soon return to
normal.
EIMERIA MITIS
TYZZER, 1929
Host: Chicken.
Location : Anterior small intestine,
occasionally middle and lower small intes-
tine or even tubular part of ceca.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The oocysts are sub-
spherical, smooth, colorless, 10 to 21 by
9 to 18|u with a mean of 16 by 13 /i . A
micropyle is absent. An oocyst polar
granule is present. An oocyst residuum
is absent. The sporocysts are ovoid, 10
by 6(1, with a Stieda body, but without a
sporocyst residuum. The sporulation time
is 2 days. Edgar (1955) found some infec-
tive oocysts as early as 18 hours at 29° C.
Life Cycle : The life cycle of this
species has been studied by Tyzzer (1929)
and Joyner (1958), the latter using a strain
derived from a single oocyst. The endo-
genous stages occur in the epithelial cells
of the villi and occasionally in the glands.
They lie against the host cell nuclei, and
below them more often than above accord-
ing to Tyzzer. However, Joyner stated
that the schizonts are nearly always super-
ficial; he illustrated the sexual stages as
below the host cell nuclei. The schizonts
produce 6 to 24 or rarely 30 merozoites,
but the number of schizont generations is
not known. The merozoites are crescent-
shaped, with blunt ends, and measure
about 5 by 1 . 5 /i .
The microgametocytes are about 9 to
14 jj, long and the macrogametes are some-
what larger. In contrast to most other
coccidian species, in which development
following a single inoculum is quite syn-
chronous, both asexual and sexual stages
occur together. The prepatent period is
4 to 5 days, and the patent period 10 days
(Joyner, 1958).
Joyner (1958) found that chicks in-
fected with 1000 oocysts produced 61, 709
oocysts per oocyst fed, while chicks fed
100,000 oocysts produced 2253 oocysts per
oocyst fed.
Pathogenesis : This species is
slightly pathogenic, but is unlikely to be
210
THE TELOSPORASIDA AND THE COCCIDIA PROPER
of pathological significance under normal
field conditions. Tyzzer (1929) observed
neither signs nor gross lesions in young
chickens given tremendous and repeated
doses of sporulated oocysts. Becker
(1959) found neither lesions nor diarrhea
in infected chickens. Joyner (1958) found
that weight gains of 6- to 26-day-old birds
fed 500,000 oocysts were reduced, while
38% of 29 6-day-old chicks died after
being fed 2. 5 million oocysts.
praecox is probably no more pathogenic
than E. mitis.
EIMERIA HAGANI
LEVINE, 1938
Host: Chicken.
Location: Anterior half of small in-
testine.
EIMERIA PRAECOX
JOHNSON, 1930
Host : Chicken.
Location : Upper third of small in-
testine.
Geographic Distribution : Probably
worldwide.
Prevalence : Common.
Morphology : The oocysts are ovoid,
smooth, colorless, 20 to 25 by 16 to 20(1
with a mean of 21 by 17 /i. A micropyle
is absent. An oocyst polar granule is
present. Oocyst and sporocyst residua
are absent. The sporulation time is 2
days.
Life Cycle : Tyzzer, Theiler and
Jones (1932) studied the life cycle of this
species. The endogenous stages occur in
the epithelial cells of the villi, usually
along the sides of the villi and below the
host cell nuclei. There are 2 generations
of schizonts, the second of which appears
as early as 32 hours after infection.
Later development is irregular, both sex-
ual and asexual stages being seen together.
The prepatent period is 4 days, and the
patent period is short, 4 days or a little
more in the absence of reinfection.
Pathogenesis : This species is essen-
tially non- pathogenic. Tyzzer, Theiler
and Jones (1932) were unable to cause
death with heavy doses of oocysts, altho
they did observe a mucous cast containing
large numbers of oocysts at the end of the
infection. Becker (1959) found that E.
Geographic Distribution :
America, India.
North
Prevalence : Rare. This species has
apparently been reported in the United
States only by P. P. Levine (1938) in New
York and Edgar (1955) in Alabama. Gill
(1954a) found it in 2. 5% of 120 chickens in
India.
Morphology : The oocysts are broadly
ovoid, smooth, 16 to 21 by 14 to 19/i with
a mean of 19 by 18 fj, (18 by 16. 5 jm accord-
ing to Edgar, 1955). A micropyle is ap-
parently absent. An oocyst polar granule
is present. No other morphological data
are known; this species was differentiated
from other chicken coccidia by cross-im-
munity tests. The sporulation time is 1
to 2 days. Edgar (1955) found sporulated
oocysts as early as 18 hours at 29" C.
Life Cycle : Unknown. The prepatent
period is 7 days according to Levine (1938)
or almost 6 days according to Edgar (1955).
Pathogenesis : This species is only
slightly pathogenic. Levine (1938) ob-
served pin-head size hemorrhages and
catarrhal inflammation in the anterior
half of the small intestine. There were
also a few hemorrhages in the lower small
intestine. Later, however, Levine (1942a)
referred to this species as non- pathogenic,
stating that 300, 000 oocysts had no effect
on experimentally infected birds.
COCCIDIOSIS IN CHICKENS
Epidemiology : Infections with a
single species of coccidium are rare, and
mixed infections are the rule. Eimeria
THE TELOSPORASIDA AND THE COCCIDIA PROPER
211
Fig. 27. Morphology and developmental stages of species of Eiiiici'ki from the chukcn.
1-4. Stages in development of oocysts of Eiiiicyia IcnclUi. 5-7. Stages in
development of oocysts of Eiiueria initio. 8-9. Stages in development of
oocysts ol Eiuieria aceyvnlina. 10-13. Stages in development of oocysts of
Eiiucria maxima. 14-17. Stages in development of oocysts of Eiiiicna
iiccalyix. 18. Developmental stages in cecal epithelium 7 to 9 days after in-
fection, oo = oocyst, sch = third generation schizont. nier = third generation
nierozoite. mi = microgametocyte. ma = macrogamete. (From Tyzzer, 1929
in the Aincyicaii Junyiial uj Hygiene, published by the Johns Hopkins Press).
tenella is the most pathogenic and impor-
tant species. In recent years, however,
control of this species with coccidiostats
has revealed more and more coccidiosis
due to E. )iccalri.x. The other species
may contribute to the total picture. E.
brunelli is markedly pathogenic but un-
common. E. niaxiiiia and E. acerviilina
are slightly to moderately pathogenic.
Both are conunon. E. )iiitis and E.
praecox are common but non- pathogenic.
E. hagani is rare and only slightly if at
all pathogenic. Weiiyonella galliiiae is
rare but moderately pathogenic; it has
been found so far only in India. Crypto-
sporidiiiiii tyzzeri is rare and non-patho-
genic, laospora gallinae is rare if it is a
chicken parasite at all, and is presumably
non- pathogenic.
Coccidiosis is primarily a disease of
young birds. Older birds are carriers.
Birds become infected by ingesting oocysts
along with their food or water. Under
farm conditions, and even in the laboratory
unless extreme precautions are taken, it
is practically impossible to avoid exposure
to at least a few oocysts.
212
THE TELOSPORASIDA AND THE COCCIDL\ PROPER
^ " 0*
',9-rTTJ
mmlff^mS^m
iLiSjj-i
3
Fig. 28. Location of avian coccidia in intestinal epithelium of chicken. 1. Cryplo-
sporidium tyzzeri. 2. Eimeria aceri'idina. 3. Eiineria iiiilis. 4. Eimeria
maxima. 5. Eimeria tenella. (From Tyzzer, 1929 in the American Journal
of Hygiene, published by the Johns Hopkins Press)
The disease picture depends upon the
number of oocysts of each species which
the birds ingest. If they get only a few,
there are no signs, and repeated infec-
tions produce immunity without disease.
If they get more, the disease may be mild
and the birds will become immune. Only
if they get a large number of oocysts do
severe disease and death result.
Crowding and lack of sanitation greatly
increase the disease hazard. As the
oocysts accumulate, the birds receive
heavier and heavier exposures, and the
disease becomes increasingly severe in
each successive batch of birds placed in
contaminated surroundings.
Immunity: Coccidiosis is a self-
limiting disease, and birds which have re-
covered become immune. The speed with
which immunity develops depends upon the
species of Euneria and on the intensity and
frequency of infection. Immunity develops
rapidly following infections with E. »iax-
ima, E. praecox and probably E. hagani,
somewhat more slowly following infections
■with E. tenella and E. briiiietli, and is de-
layed following infections with E. mills,
E. acervulina and£. necatrix.
Immunity is species-specific. Chick-
ens which have become immune to one
species are susceptible to all the others.
This fact makes it possible to differentiate
THE TELOSPORASIDA AND THE COCCIDIA PROPER
213
Fig. 29. Location of chicken coccidia in regions of the intestinal tract. A. Eiiiivrui
tenella. B. E. mitis. C. E. acervuliiia. D. E. niaxiiiia. E. E. i/ccalrix.
F. E. brnnetti. (A-D after Tyzzer, 1929; E after Tyzzer, Theiler and Jones,
1932; F after Boles and Becker, 1954)
between species by cross-immunity stud-
ies, and indeed it was by means of such
studies that Levine (1938), for instance,
was able to show that E. hagani was a
valid species.
Immunity against coccidia is seldom
solid. Birds which have recovered may
be reinfected, but such infections are
light and do not cause disease. Carriers
are extremely common and are a source
of infection for other birds. Thus, Levine
(1940) found E. mitis, E. acervnlina or
both in 53%, E. praecox in 33%, E. max-
ima in 28%, E. necatrix in 38% and£.
tenella in 23% of 39 pullets 8 months or
more old, but only 8% of them had gross
lesions.
Heredity is a factor in resistance to
coccidiosis. Herrick (1934) found that
chicks from resistant parents were about
100% more resistant to E. tenella than
unselected chicks. Champion (1954) and
Rosenberg, Alicata and Palafox (1954)
established E. teiiella-res\sia.nt and sus-
ceptible lines of chickens by selective
breeding. They found that sex linkage,
passive transfer of immunity thru the egg
and cytoplasmic inheritance did not play a
significant part in resistance and suscep-
tibility. Champion considered that they
were controlled in large part by non-dom-
inant, multiple genetic factors which pre-
sumably act additively. Rosenberg et al.
also thought that the factor or factors for
resistance or susceptibility did not show
marked dominance.
Immunity in older birds is due mostly
to previous infection. The birds are ex-
posed repeatedly and almost continuously,
and their immunity is continually being
reinforced. Coccidiasis is thus extremely
common- -and indeed normal under natural
conditions- -while coccidiosis is the result
214
THE TELOSPORASIDA AND THE COCCIDIA PROPER
of imbalance between infection rate and
resistance. Actually, the best type of en-
vironment to control coccidiosis is one in
which the chickens become infected lightly
enough to develop an immunity without
suffering any disease.
Many workers have studied the devel-
opment of immunity to coccidiosis (Walet-
zky and Hughes, 1949; Brackett and
Bliznick, 1950). Most of this research
has been done with E. lenella. Farr (1943)
immunized chickens with 1000 oocysts
daily for 15 days or with 3 doses of 1000,
5000 and 9000 oocysts given 5 days apart.
She also carried out 5 similar experiments
with differing numbers of oocysts, all of
which showed that repeated small doses of
E. lenella oocysts would produce immun-
ity. Horton-Smith (1949), Waletzky and
Hughes (1949) and Gordeuk, Dressier and
Glantz (1951) found that single doses of
oocysts would also produce immunity, and
that the degree of protection was propor-
tional to the intensity of the initial infec-
tion. Babcock and Dickinson (1954) found
that a total of 1600 sporulated oocysts,
given either in one or several doses,
would produce practical immunity that
withstood severe challenge. The number
of individual doses required to make the
total did not materially affect the immun-
ity produced. It took 4 days longer for
immunity to result following exposure to
1050 sporulated oocysts than to 2125.
Gordeuk, Bressler and Glantz (1951) found
that day-old chicks could develop a certain
degree of immunity. They found, too, that
feeding the oocysts in the mash resulted
in higher mortality than when a similar
dose was given by mouth.
Many workers have shown that immun-
ity will develop against coccidiosis in birds
on suppressive therapy (Waletzky and
Hughes, 1949; Johnson, Mussell and Diet-
zler, 1949, 1949a; Grumbles el at. ,
1949; Bankowski, 1950; Kendall and McCul-
lough, 1952). The drugs are ineffective
against the sporozoites or first generation
schizonts, at least in the concentrations
used, but they do kill the merozoites or
later stages. The coccidia are thus able
to invade the host tissues and stimulate
the development of immunity, but are
killed before they can multiply enough
to harm the host.
A number of workers have attempted
to produce immunity by infecting birds
with oocysts attenuated in different ways.
Jankiewicz and Scofield (1934) heated the
oocysts to 46" C for 15 minutes before
sporulation, and found that when they were
then sporulated and fed to chickens, they
stimulated the production of immunity
with a minimum of injury. Waxier (1941)
produced mild infections with oocysts
irradiated with 9000 r of x-rays. Follow-
ing recovery, the chicks were almost as
resistant as those which had had a severe
attack after infection with normal oocysts.
Uricchio (1953) produced marked immunity
by feeding chicks 100, 000 oocysts which
had been held at -5^ C for 5 days, and a
lesser degree of immunity with oocysts
which had been heated at 45'' C for 12
hou rs .
It is well known that cultures slowly
lose their infectivity upon storage. Bab-
cock and Dickinson (1954), for example,
observed reduced pathogenicity in a culture
of E. tenella after storage for 236 days,
and reduced immunogenicity at 344 days.
Using a standard immunizing procedure
in which 600 oocysts were fed the first
day and 1000 the second, they found that
it took 3 days to produce immunity with a
culture less than 150 days old and 6 days
with a culture more than 300 days old.
There is an unanswered question
whether such treatments produce true at-
tenuation or whether the observed results
are due simply to the death of some of the
oocysts. Invasion must take place for im-
munity to result, and attempts to immu-
nize birds with killed antigens have not
succeeded.
Most attempts to find circulating anti-
bodies have failed. However, McDermott
and Stauber (1954) found agglutinins
against merozoites in the serum of exper-
imentally infected chickens and also pro-
duced them in rabbits and roosters by in-
jecting formalinized merozoite suspensions.
Becker and Zimmermann (1953) found that
infected chicks injected intravenously with
THE TELOSPORASIDA AND THE COCCIDIA PROPER
215
an alcoholic horse kidney extract produced
fewer oocysts than untreated, infected
controls. Burns and Challey (1959) found
that when chicks which had been previously
infected thru a fistula into a cecal pouch
which had been isolated from the intestine
were challenged with E. tenella orally,
they were somewhat more resistant than
the controls, indicating that there is some
generalized host response.
Less research has been done on the
development of immunity in other species
of coccidia. Tyzzer, Theiler and Jones
(1932) found that chickens which had re-
covered from E. necatrix infections were
immune, as did Grumbles and Delaplane
(1947). Dickinson (1941) and Brackett
and Bliznick (1950) showed that immunity
developed following infection with E.
acervulina. The latter found the same
thing with E. maxima. Similar results
have been obtained for the other species
(Brackett and Bliznick, 1950).
Diagnosis : Avian coccidiosis can be
diagnosed by finding lesions containing
coccidia at necropsy. Diarrhea with or
without blood in the droppings, inappetence
and emaciation are suggestive, but scrap-
ings of the affected intestinal mucosa must
be examined microscopically to determine
whether coccidia are present. It is not
enough to look for oocysts, but schizonts,
merozoites and young gametes should be
recognized also.
Coccidiasis is much more common
than coccidiosis; hence the mere presence
of oocysts in the feces cannot be relied
upon for diagnosis. Conversely, the ab-
sence of oocysts does not necessarily mean
that coccidiosis is not present, since the
disease may be in too early a stage to
produce oocysts.
Since some species of coccidia are
highly pathogenic for the chicken while
others are practically non-pathogenic,
the species present must be identified to
establish a diagnosis. This can often be
done in a rough way from the type and lo-
cation of the lesions.
Treatment : Many hundreds of papers
have been written on the treatment of coc-
cidiosis in chickens, and there is no space
here for more than a relatively brief dis-
cussion. By far the greatest part of the
research has been done on E. tenella.
The first compound found effective
against coccidia was sulfur, which Herrick
and Holmes (1936) introduced. When 2 to
5% sulfur is mixed with the feed, coccid-
iosis is largely prevented in young chicks.
The use of sulfur had a certain vogue, but
it was soon found unsatisfactory because
it causes a condition known as sulfur rick-
ets. Even tho the chicks are on an ordin-
arily adequate diet, the sulfur interferes
with calcium utilization and causes rickets.
The use of borax in E. tenella coccid-
iosis was introduced by Hardcastle and
Foster (1944). Several others have done
research on it (Wehr, Farr and Gardiner,
1949), and the consensus is that 0. 3 to
0. 5% borax in the feed prevents death from
coccidiosis if administered beginning 1 or
2 days after experimental infection and
continued for 3 days or longer. However,
it does not prevent cecal hemorrhage or
weight losses. It is also toxic, causing
loss of weight even when fed alone.
P. P. Levine (1939) was the first to
use sulfonamides against coccidiosis. His
discovery that sulfanilamide was active
opened up the field. Many different--
probably several hundred--sulfonamides
were tested, and a number of them were
found of practical value. Sulfaguanidine
was introduced after sulfanilamide. It
was followed by sulfamerazine and sulfa-
methazine (called sulfamezathine in Eng-
land), and still later by sulfaquinoxaline
and N'*-acetyl-N'-(4-nitrophenyl) sulfanil-
amide. All of these compounds are effec-
tive against E. tenella, the last 2 are
quite effective against E. necatrix, and
sulfaquinoxaline and sulfaguanidine are
quite effective against E. acervulina.
Sodium sulfadimidine is active against
E. mitis, but does not completely elim-
inate it (Joyner, 1958).
Sulfaguanidine is fed at the rate of
0. 5% in the mash, sulfamethazine and sul-
famerazine at 0. 1 to 0.25%, and sulfaquin-
oxaline at 0.025%. Sodium sulfamethazine
and sodium sulfadimidine are given in the
216
THE TELOSPORASIDA AND THE COCCIDIA PROPER
drinking water at 0. 2%, and sodium sulfa-
quinoxaline at about 0.04% (see Grumbles,
el al. , 1949; Farr, 1949; Dickinson, 1949;
Kendall and McCuUough, 1952; Peterson
and Munro, 1949; Peterson and Hymas,
1950; Davies and Kendall, 1954; Bankow-
ski, 1950; Horton-Smith and Long, 1959;
and McLoughlin and Chester, 1959 for re-
views and further information).
The sulfonamides are in general more
effective against the schizonts and mero-
zoites than against the gametes, gameto-
cytes and sporozoites. Bankowski (1950)
found that 0. 5% sulfaguanidine was coccid-
iostatic against the first generation schi-
zonts of E. tenella but that 2% sulfaguan-
idine was required to kill the second gen-
eration schizonts in the lamina propria
and even this concentration had no effect
on the sporozoites. He concluded that
this drug must act against the merozoites
in the lumen of the ceca, since 0. 5% is
the usual concentration in the feed. Ken-
dall and McCullough (1952) found that 0. 25
to 0. 375% sulfamethazine in the feed af-
fected the later stages in the life cycle,
but that 0. 5 to 1.0% was required to affect
the early stages. Farr and Wehr (1947)
found that 1% sulfamethazine almost com-
pletely destroyed the second generation
schizonts and their merozoites, somewhat
affected the first generation schizonts but
did not completely destroy them, and
either damaged or destroyed the young
gametes. It did not injure the larger gam-
etes, oocysts or sporozoites. The action
of sulfaquinoxaline is similar.
All of the sulfonamides are coccidio-
static rather than truly curative. None
will cure coccidiosis once signs of dis-
ease have appeared. When fed continu-
ously in the feed, they abort the disease.
Sulfaquinoxaline will protect birds when
given as late as 4 days after experimental
infection. Since the sporozoites are not
affected, they invade the intestinal cells
and stimulate the development of immun-
ity. However, if too much of a sulfona-
mide is given, immunity will not develop.
Thus, Kendall and McCullough (1952)
found that when 0. 25 to 0. 375% sulfameth-
azine was given in the feed, immunity de-
veloped, but when the concentration was
raised to 0. 5 to 1. 0% it did not.
When given in the recommended
amounts, the sulfonamides are not gener-
ally harmful. Sulfaquinoxaline does not
depress the growth rate of chicks when fed
for a long period at rates of 0.01 to 0.02%,
but 0.03% gives variable results and higher
concentrations are usually toxic. Dela-
plane and Milliff (1948) found that when
0. 05% sulfaquinoxaline was fed continu-
ously to pullets in egg production, signs
of poisoning appeared and some birds died.
They found greyish-white nodules in the
spleens of most birds and in the livers,
kidneys, hearts and lungs of some. There
were also hemorrhages beneath the skin of
the legs and in the combs. Davies and
Kendall (1953) found that 0.0645% sodium
sulfaquinoxaline in the drinking water was
toxic to chickens when fed for as short a
period as 5 days. The principal lesions
were hemorrhages, especially in the
spleen, and accumulation of fluid in the
peritoneal cavity. On the other hand,
Cuckler and Ott (1955) reported that the
continuous administration of 0. 05% sulfa-
quinoxaline in the feed or of 0.025% in the
water for as long as 12 weeks had no ad-
verse effects on chickens. The blood
clotting time was prolonged and the pro-
thrombin time increased slightly by feeding
0.4% sulfaquinoxaline for 3 to 12 weeks.
Several organic arsenic compounds
have been found effective against E.
tenella, but not against the other species
(Morehouse and Mayfield, 1946; Goble,
1949). All are derivatives of phenylarsonic
acid. All are coccidiostatic, and none will
cure coccidiosis once signs of disease have
appeared. The most widely used of these
is perhaps 3-nitro-4-hydroxyphenylarsonic
acid, which is generally administered in
the feed at a concentration of 0. 01'
It
apparently acts against the earlier endog-
enous stages, but not against the sporo-
zoites, and birds which are exposed while
under prophylactic treatment become im-
mune. At the recommended dosage it has
no harmful effect on the host but is actually
a growth stimulant. A mixture of this
compound and N^-acetyl-N'-(4-nitrophenyl)
suKanilamide is sold under the name Ni-
trosal to suppress both cecal and intestinal
coccidiosis. Another active organic ar-
senic compound is arsanilic acid.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
217
A number of alkylidenediphenols,
which are diphenylmethane derivatives,
are effective against E. tenella, (Johnson,
Mussell and Dietzler, 1949, 1949a;
Groschke et al. , 1949). One of these,
Parabis-90, is 2, 2'-methylene-bis-4-
chlorophenol. It is used in the starter
feed at a concentration of 0. 15%, and
later on, when the chicks are 6 to 8 weeks
old, in the grower feed at a concentration
of 0. 12%. These compounds are also coc-
cidiostatic and will not cure coccidiosis
once signs of the disease have appeared.
They appear to act primarily against the
earlier endogenous stages but not against
the sporozoites, and birds which are ex-
posed while getting the drug become im-
mune. They do not appear to harm
chickens when fed at the recommended
levels.
A diphenyl disulfide derivative which
has been widely used as a coccidiostat
against both E. tenella and E. necatrix
is nitrophenide (Megasul). It is 3, 3'-di-
nitrodiphenyldisulfide (Waletzky, Hughes
and Brandt, 1949; Peterson and Hymas,
1950; Dickinson, Babcock and Osebold,
1951; Gardiner, Farr and Wehr, 1952;
Horton-Smith and Long, 1959). It is
mixed with the feed at the rate of 0. 025 to
0. 05%. It is coccidiostatic and will not
cure coccidiosis once signs of the disease
have appeared. It acts against both the
sporozoites and later stages, but is more
effective against the latter and especially
against the second generation schizonts.
Immunity does not appear to develop if
chickens are treated before infection, but
it does if treatment begins at the time of
infection or later. Nitrophenide is not
harmful if fed in therapeutic concentra-
tions. At higher doses Newberne and
McDougle (1956) found that it may cause
postural and locomotor disturbances,
lowered weight gains, liver degeneration
and bone marrow changes.
Another coccidiostat is the diphenyl-
sulfide derivative, bithionol, or 2,2'-
dihydroxy-3, 3', 5, 5'-tetrachlorodiphenyl
sulfide. The commercial coccidiostat,
Trithiadol, is a mixture of 5 parts bithi-
onol and 1 part methiotriazamine. The
latter is 4, 6-diamino-l-(4-methylmer-
captophenyl)-!, 2-dihydro-2, 2-dimethyl-
1, 3, 5-triazine. Bithionol is not only coc-
cidiostatic but also antibacterial and anti-
fungal. Methiotriazamine is coccidiostatic
at high concentrations and is also an active
antimalarial agent. In combination, these
drugs are effective against coccidia at
lower concentrations than when used alone.
A mixture containing 60% active ingredients
is fed in the feed at the rate of 2 pounds per
ton. The recommended use level is 0.05%
bithionol plus 0.01% methiotriazamine. It
is effective against E. tenella, E. necatrix,
E. maxima and E. acervulina. Chickens
fed it develop immunity to these coccidia.
McLoughlin and Chester (1959) found that
0. 06% Trithiadol gave relatively good pro-
tection from mortality due to E. tenella.
It was not as good as glycarbylamide and
nicarbazin but was about as effective as
nitrofurazone and Bifuran and somewhat
better than sulfaquinoxaline. Trithiadol
is not harmful to growing chickens when
fed at the recommended levels (Arnold
and Coulston, 1959). It does not appear
to affect egg production or egg shell color
or quality, but it does affect hatchability
to some extent and is not recommended
for use in laying mashes.
Two nitrofurans are currently used
as coccidiostats. Nitrofurazone (5-nitro-
2-furaldehyde semicarbazone) was intro-
duced by Harwood and Stunz (1949, 1949a,
1950) and has been studied further by
Peterson and Hymas (1950), Gardiner and
Farr (1954), Horton-Smith and Long (1952,
1959) and McLoughlin and Chester (1959),
among others. It is mixed with the feed
at the rate of 0.011%. It is effective
against E. tenella and to a lesser extent
against E. necatrix and E. maxima.
Higher concentrations give better results
against the intestinal species. Nitrofur-
azone is coccidiostatic and will not cure
coccidiosis once signs of the disease have
appeared. It acts against the schizonts,
and birds infected while receiving the
drug develop immunity to reinfection.
Nitrofurazone is not harmful if fed in
therapeutic amounts, but 0.04 to 0.05% in
the feed is definitely toxic, and an adverse
effect on the growth rate has been noted
even at 0.022% (Gardiner and Farr, 1954;
218
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Peterson and Hymas, 1950). Newberne
and McEuen (1957) found that 0. 05 to 0. 1%
of nitrofurazone in the feed produced
stunted growth, curled-toe paralysis,
clinical polyneuritis, atrophy of the fol-
licles of the bursa of Fabricius, renal
tubular degeneration and pulmonary ossifi-
cation in young chicks. The blood picture
remained essentially normal. McLoughlin
and Chester (1959) found that 0.0055'f
nitrofurazone was less effective than gly-
carbylamide or nicarbazin but more effec-
tive than 0.0125"( sulfaquinoxaline against
E. tenella.
Another nitrofuran coccidiostat, Bi-
furan, was introduced quite recently. It
is a mixture of nitrofurazone and furazo-
lidone (NF 180, or N-(5-nitro-2-furfury-
lidene)-3-amino-2-oxazolidone). The
final concentrations in the feed are 0.0055%
nitrofurazone and 0.0008% furazolidone.
McLoughlin and Chester (1959) found that
it was less effective than glycarbylamide
and nicarbazin, about as effective as nitro-
furazone and more effective than sulfa-
quinoxaline against E. tenella infections
in chicks. Horton-Smith and Long (1959)
found that it was effective against E.
necatrix when fed at double the above level.
Kantor and Levine (unpublished) found that
furazolidone by itself was valueless against
E. necatrix.
Both nitrofurazone and furazolidone
are also antibacterial agents. Furazoli-
done is used against Salnionella infections
in poultry, and also has some effect
against Histomonas meleagridis (Harwood
and Stun z, 1954) and T)'icho»ioiias gal-
linae (Stabler, 1957).
The anticoccidial properties of sub-
stituted carbanilide complexes were dis-
covered by Cuckler et at. (1955). They
introduced nicarbazin, which is an equi-
molar complex between 4, 4'-dinitrocar-
banilide and 2-hydroxy-4, 6-dimethylpyri-
midine. A simple mixture is no better
than the carbanilide alone. Nicarbazin is
fed at a concentration of 0.01 to 0.0125%
in the feed, or 0. 008%) in replacement
flocks. It is effective against E. tenella,
E. acerviilina and E. necatrix (Cuckler,
Malanga and Ott, 1956; Rubin et al. , 1956;
Cuckler, Ott and Fogg, 1957; Horton-Smith
and Long, 1959). McLoughlin and Chester
(1959) found that nicarbazin was about as
effective as glycarbylamide against E.
tenella, and more effective than nitrofura-
zone, Bifuran, sulfaquinoxaline or Trith-
iadol.
Nicarbazin is coccidiostatic, and will
not cure coccidiosis once signs of the dis-
ease have appeared. It acts against the
second generation schizonts and their
merozoites (Cuckler and Malanga, 1956),
and birds which are infected while receiv-
ing the drug develop immunity to reinfec-
tion (Cuckler and Malanga, 1956; Marthe-
dal and Veiling, 1957; McLoughlin, Rubin
and Cordray, 1957, 1958).
Nicarbazin is not recommended for
laying hens. When fed at the recommended
level, it makes the egg shells pale (Mc-
Loughlin, Wehr and Rubin, 1957). At
higher levels the yolks become mottled,
blotchy, enlarged and sometimes even
brown, the whites may become cloudy,
hatchability is affected, and production
may be reduced (Snyder, 1956; Sherwood,
Milby and Higgins, 1956; Baker et al. ,
1956; Lucas, 1958).
Other pyrimidine derivatives besides
the one in nicarbazine may have a syner-
gistic effect on sulfonamide coccidiostats.
Lux (1954) found that pyrimethamine
(Daraprim; 2, 4-diamino-5-p-chlorophenyl-
6-ethyl pyrimidine), which is a powerful
antimalarial drug, acted synergistically
with sulfanilamide and other sulfonamides
against E. tenella. Joyner and Kendall
(1955) found that as little as 0.0025% pyri-
methamine allowed the effective concen-
tration of sulfamethazine against E. tenella
to be reduced to 1 8 to 1 16 of that nor-
mally required for protection. Marthedal
and Veiling (1957) found that pyrimetha-
mine acted synergistically with two other
sulfonamides, sulfabenzpyrazine and sul-
fadimidine, against E. tenella.
Most recently, a quaternized deriva-
tive of pyrimidine, amprolium, has been
introduced. This compound is l-(2-«-
propyl-4-amino-5-pyrimidinylmethyl)-2-
methylpyridinium chloride hydrochloride.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
219
According to Rogers eL al. (1960), 0.0125%
amprolium in the feed is effective against
E. tenella, E. necatrix and £. acervuliiia.
It is a thiamine antagonist, and 0. 003%
thiamine in the feed markedly decreased
its activity against coccidia. Another
name for amprolium is mepyrium, the
discovery of which was announced by
Aries (1960).
According to Rogers et al. (1960),
many other l-(2-alkyl-4-amino-5-pyri-
midinylmethyl)-alkyl pyridinium salts have
marked prophylactic activity in coccidiosis
of poultry. Analogous 3-thiazolium com-
pounds are also effective.
The imidazole derivative, glycarbyla-
mide (4, 5-imidazoledicarboxamide) was
introduced as a coccidiostat by Cuckler
et al. (1958). It is fed in a concentration
of 0. 003% in the feed. It is effective
against E. tenella, E. necatrix and E.
acervulina, but Horton-Smith and Long
(1959a) found that it is inferior to sulfa-
quinoxaline against the last. McLoughlin
and Chester (1959) found that it is about
as effective as nicarbazin against E.
tenella, and more effective than nitrofura-
zone, Bifuran, sulfaquinoxaline or Trithi-
adol.
Glycarbylamide is coccidiostatic, and
will not cure coccidiosis once signs of the
disease have appeared. It acts against the
stages prior to the second generation
schizonts, and birds which are infected
while receiving the drug develop immunity
to reinfection. It is apparently non-toxic
when fed at the recommended level.
Several benzamide derivatives are
effective coccidiostats. Morehouse and
McGuire (1957, 1959) found that 3, 5-di-
nitrobenzamide and several aliphatic N-
substituted derivatives are effective
against E. tenella and somewhat less ef-
fective against E. necatrix. They found
that Unistat, a "coccidiostatic growth
stimulant" mixture containing 30% N"*-
acetyl-N^-(4-nitrophenyl) sulfanilamide,
25% 3, 5-dinitrobenzamide and 5% 3-nitro-
4-hydroxyphenylarsonic acid in an inert
carrier, when fed at a concentration of
0. 1% in the feed, prevented death and
permitted normal or near normal weight
gains in chicks infected with potentially
lethal doses of E. tenella, E. necatrix
and E. acervulina.
Another benzamide derivative is
zoalene (3, 5-dinitro-o-toluamide). Hymas,
Stevenson and Shaver (1960) reported that
it prevents mortality and weight losses
from infections with E. tenella, E. neca-
trix, E. acervulina, E. maxima and E.
brunetti when fed continuously in the
ration of chicks at levels ranging from
0.0025 to 0.015%. They recommended a
level of 0. 0125% for broilers and lower
levels for replacement pullets. This com-
pound is most effective against E. necatrix.
The benzamide derivatives are coc-
cidiostatic and will not cure the disease
once signs have appeared. Birds which
are infected while receiving them develop
immunity to reinfection.
Hemorrhage is an important cause of
death from cecal coccidiosis, and its con-
trol will ameliorate the disease. Harms
and Tugwell (1956) and Tugwell, Stephens
and Harms (1957) found that the vitamin K
activity of alfalfa meal or menadione so-
dium bisulfite complex (Klotogen F) pre-
vented deaths from cecal coccidiosis in
birds on a basic vitamin K-deficient diet.
Otto et al. (1958) confirmed their work,
finding that 1.0 g of the water soluble
menadione sodium bisulfite complex per
ton of feed was just as effective as 3 g per
ton of menadione.
Sulfonamides and other coccidiostats
have been mixed in poultry feed for so
many years that it was inevitable that drug
resistant strains of coccidia would develop.
The first report of this was by Waletzky,
Neal and Hable (1954), who found that a
field strain of E. tenella from a Delaware
broiler flock was more than 40 times as
resistant to sulfaquinoxaline and 5 times
as resistant to sulfamethazine as ordinary
strains. It was unaffected by 1.0% sulfa-
quinoxaline in the feed. Cuckler and
Malanga (1955) studied 40 field strains of
allegedly drug-resistant cecal or mixed
intestinal and cecal coccidia from chick-
ens. They found that 43% were resistant
220
THE TELOSPORASIDA AND THE COCCIDIA PROPER
to nitrophenide, 45% to sulfaquinoxaline
and 57% to nitrofurazone. Twenty-two
percent were resistant to all 3 drugs, 18%
to 2 and 18"f to 1. None were resistant
to nicarbazin, which had only recently
been placed on the market. They produced
resistance against sulfaquinoxaline in 1
strain of E. acerviilina and 2 strains of
E. lenella by exposure to suboptimal dos-
ages of the drug during 15 serial passages,
but 1 strain of E. tenella was not rendered
resistant to nitrophenide, nitrofurazone or
nicarbazin by the same method for 15 ser-
ial passages.
Drug resistance is becoming increas-
ingly common. It seems to develop with
especial ease against glycarbylamide. As
a consequence, we are in a race between
the discovery of new coccidiostats and the
development by the parasites of resistance
against the older ones. In the long run,
prevention of coccidiosis without reliance
on drugs appears to hold more promise.
Prevention and Control : Coccidian
oocysts are extremely resistant to envir-
onmental conditions. They may remain
alive in the soil for a year or more (War-
ner, 1933; Farr and Wehr, 1949; Koutz,
1950). They will not sporulate in the ab-
sence of oxygen, and they are killed in
time by subfreezing temperatures. Thus,
Edgar (1954) found that the oocysts of E.
tenella vieve dead after 7 days at -12° C.
Ordinary antiseptics and disinfectants
are ineffective against them. Pe'rard
(1924), for instance, found that the oocysts
of rabbit coccidia would sporulate unharmed
in 5% formalin, 5% phenol, 5% copper sul-
fate, or 10% sulfuric acid. Horton-Smith,
Taylor and Turtle (1940) confirmed this
with E. tenella and added 5% potassium
hydroxide and 5% potassium iodide to the
list. Indeed, the standard storage solu-
tions for coccidian oocysts are 2. 5%
potassium bichromate or 1% chromic acid
solution.
The oocysts may be destroyed by
ultra-violet light, heat, desiccation or
bacterial action in the absence of oxygen.
Long (1959) found that exposure to a tem-
perature of 52° C for 15 minutes killed
the oocysts of E. tenella and E. maxima.
However, Horton-Smith and Taylor (1939)
found that even a blowtorch did not kill all
the oocysts on the floors of poultry houses
unless it was applied long enough to make
the wood start to char. The problem is
to reach and maintain a lethal temperature
at the spot where the oocysts are.
While formaldehyde fumigation is in-
effective against coccidia, Horton-Smith,
Taylor and Turtle (1940) showed that am-
monia fumigation is of practical value.
E. tenella oocysts were killed by an
0.0088% solution of ammonia in 24 hours,
by an 0. 044% solution in 2 hours and by an
0.088% solution in 45 minutes. They fu-
migated poultry houses successfully with
3 oz. ammonia gas per 10 cu. ft. For
satisfactory results, the houses should be
sealed so that the gas does not leak out.
Boney (1948) found that methyl bro-
mide is also an effective fumigant. It in-
activated sporulated oocysts of E. tenella
in the litter or soil when applied at the
rate of approximately 1 lb. per 1000 square
feet (0. 3 ml per sq. ft. ). It prevented in-
fection in brooder houses using artificially
contaminated cane pulp litter on wooden
floors when used as a space fumigant at
the rate of 2 lb. per 1000 cu. ft.
Since it is practically impossible under
farm conditions to prevent chickens from
picking up at least a few oocysts, preven-
tion of coccidiosis depends upon preventing
a heavy enough infection to produce disease
while at the same time permitting a symp-
tomless infection (coccidiasis) to develop
and to produce immunity. This can be
accomplished by proper sanitation and
management. Strict sanitation is effective
alone, but it is usually supplemented by
the use of a coccidiostatic drug.
Young chickens should be raised apart
from older birds, since the latter are a
source of infection. If birds are raised on
the floor, each new brood of chicks should
be placed in a clean house containing clean,
new litter. The litter should be kept dry,
stirred frequently and removed when wet.
The feeders and waterers should be washed
in boiling water before use, and should be
THE TELOSPORASIDA AND THE COCCIDIA PROPER
221
cleaned at least weekly with hot water and
detergent. The waterers should be placed
on wire platforms over floor drains, and
the feeders should be raised high enough
to prevent their being fouled. Enough
feeders should be provided so that all the
birds can feed at once without crowding.
Chicks raised on wire have much less
chance of contamination than those raised
on the floor. However, the wire should be
cleaned regularly.
Flies, rats and mice around the poul-
try houses and yards should be eliminated,
since they may carry coccidia mechanic-
ally. Damp areas around the poultry house
should be filled in or drained.
Feeding a coccidiostat during times
when the birds are especially susceptible
may also be helpful. The drug may be fed
until the birds are 8 or 9 weeks old, after
which they have ordinarily become im-
mune. In addition, it is often recommended
that a coccidiostat be fed to pullets for the
first 2 or 3 weeks after they have been
moved into laying houses.
If an outbreak of coccidiosis occurs,
all sick birds should be removed from the
flock and placed in a separate pen. They
should be given ample food and water, but
it is useless to attempt to treat them. The
remaining, apparently healthy birds should
be treated with a coccidiostat in the dosage
recommended by the manufacturer. Birds
which become ill should be removed. The
litter should be kept dry and stirred fre-
quently.
All dead birds should be burned. The
litter should also be burned or put some-
place where chickens will never have
access to it.
Care should be taken not to track coc-
cidia from sick birds to healthy ones.
Special rubbers or overshoes should be
put on before entering pens containing sick
birds, and should be cleaned thoroughly
after each use. Veterinarians going from
one farm to another should disinfect their
boots before leaving each premises.
The use of old, built-up, deep floor
litter has been recommended by Kennard
and Chamberlin (1949) and others to reduce
losses from coccidiosis. By this method,
the litter is not changed when new batches
of birds are placed in a house, but some
fresh litter may be added from time to
time as needed to keep it in good condition.
The litter is stirred every 2 or 3 days for
the first 8 weeks and every day thereafter.
Every 2 to 4 weeks, hydrated lime may be
mixed in with the litter at the rate of 10 to
15 lb. per 100 square feet of litter, but
this is not necessary. The litter will keep
dry for 8 to 16 weeks. Using this method,
Kennard and Chamberlin (1949) observed a
mortality of 7% as compared to a mortality
of 19% in chickens kept on fresh litter re-
moved and changed every 2 weeks.
On the other hand, Koutz (1952, 1952a)
found that many coccidian oocysts and
nematode eggs remain alive in deep litter.
Horton-Smith (1954), too, pointed out the
dangers inherent in its use. He noted,
however, that the ammonia produced would
kill many oocysts. Long and Bingstead
(1959) found that chicks on old, built-up
litter did not gain as well as chicks on
wire or new wood shavings, and that coc-
cidia appeared in them earlier. Because
of the dust, ammonia fumes, and danger
of other diseases, the use of built-up litter
in raising chickens is not recommended.
Edgar (1955a) developed a coccidiosis
"vaccine" which is said to be highly suc-
cessful in immunizing chicks. It is a
mixture of sporulated oocysts of E. tenella,
E. necatrix, E. maxima, E. acervulina
and E. hagani (Libby, Bickford and Glista,
1959). It is recommended for use when
the chicks are 3 to 5 days old. They are
starved for about 3 hours and then given
feed freshly mixed with the commercially
prepared oocyst culture. The chicks are
supposed to develop light infections and
seed the litter with the oocysts which they
produce. These oocysts produce reinfec-
tions in turn. It is recommended that a
coccidiostat be fed at a low level until 5
weeks after vaccination, i.e., until the
birds are 5^ to 6 weeks old. Under these
conditions, the birds are said to become
222
THE TELOSPORASIDA AND THE COCCIDLA PROPER
immune without suffering disease. While
this system often works well, failures
have been encountered too often to justify
recommending its general use at present.
EIMERIA MELEAGRIDIS
TYZZER, 1927
Hosts : Domestic and wild turkey.
Altho Steward (1947) and Gill (1954)
claimed to have transmitted this species
experimentally to the chicken, Tyzzer
(1929) was unable to transmit it to the
chicken, ring-necked pheasant or bob-
white quail, Hawkins (1952) was unable to
transmit it to the bobwhite quail or Hun-
garian partridge, and Moore, Brown and
Carter (cited by Moore, 1954) and Clark-
son (1959a) were unable to transmit it to
the chicken.
Location : The first generation schi-
zonts, which are relatively few in number,
are found only in the small intestine a
short distance on either side of the yolk
stalk. They lie below the host cell nuclei
in the epithelial cells, mostly in those
near the base of the villi but not in the
deep glands.
The second generation schizonts
occur in the cecum, where they lie above
the host cell nuclei in the epithelial cells
of the tips of the villi.
The sexual stages are found in the
cecum, rectum and, to a slight extent,
ileum. They lie above the host cell nuclei
deep in the glands of the cecum as well as
in the surface epithelium (Clarkson, 1959a).
Geographic Distribution : Worldwide.
Prevalence : Common. Kozicky
(1948) found "E. meleagridis" in the drop-
pings of 40% of 95 wild turkeys in Penn-
sylvania.
Morphology : This species was first
described by Tyzzer (1927). The oocysts
are ellipsoidal, smooth, 19 to 31 by 14 to
23 ^x with a mean of 24 by 17 (i. The
oocysts measured by Clarkson (1959a)
were 22.3 + 2.3 by 16. 25 t 1.23fi. A
micropyle is absent. One or 2 oocyst
polar granules are present. An oocyst
residuum is absent. The sporocysts are
ovoid, with a Stieda body. A sporocyst
residuum is present. The sporulation
time is 1 day. Edgar (1955) found some
sporulated oocysts as early as 15 hours
at 28 C.
Life Cycle : Hawkins (1952) and
Clarkson (1959a) described the life cycle,
the latter using a strain which he had de-
rived from a single oocyst. The first
generation schizonts are present 2 to 5
days after infection, being found in great-
est numbers at 60 hours. They measure
20 by 15/1 and contain 50 to 100 mero-
zoites measuring 7 by 1. 5(i. The second
generation schizonts first appear 60 hours
after infection, and mature ones are pres-
ent after 70 hours; they are seen in great-
est numbers at 84 hours. They are about
9 (i in diameter and contain 8 to 16 mero-
zoites which measure 10 by 2;i. Hawkins
stated that there may be a third asexual
generation, but that most of the second
generation merozoites develop into sexual
stages; Clarkson did not describe third
generation schizonts.
Macrogametes and microgametocytes
appear at 91 hours and become mature 9
days after infection. They measure about
18 by 13jLt. The microgametes are bi-
flagellate.
According to Hawkins, oocysts appear
in the feces 5 days after infection; Clarkson
found that the prepatent period was 108 to
112 hours.
Pathogenesis : This species is prac-
tically non-pathogenic. Hawkins (1952)
observed only a slight drop in weight in
poults experimentally infected with
400,000 to 1 million sporulated oocysts.
Moore and Brown (1951) infected poults
with "enormous numbers" of fresh, spor-
ulated oocysts without producing clinical
evidence of coccidiosis. Clarkson (1959a)
found that doses of up to 1 million oocysts
produced no signs of disease in 2-week-
old poults.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
223
The serosal sui'face of the ceca of
heavily infected birds is cream colored.
The ceca contain a non-adherent, mucoid
or caseous, yellow plug on the 5th and
6th days. Caseous material composed of
oocysts and epithelial cells is sometimes
found in the feces on the 6th day, but the
ceca appear quite normal in another day
or two. Hawkins noted petechial hemor-
rhages in the cecal mucosa.
Immunity : Turkeys which have re-
covered from an infection with E. mele-
agyidis have a high degree of immunity
according to Hawkins (1952). Clarkson
(1959a) found no cross immunity between
this species and E. adenoeides.
EIMERIA MELEAGRIMITIS
TYZZER, 1929
Host: Turkey.
Hawkins (1952) was unable to trans-
mit this species to the bobwhite quail or
Hungarian partridge. Gill (1954) claimed
to have transmitted it to the chicken.
Location : The asexual stages occur
mainly in the upper jejunum, but a few
are present in the duodenum and ileum as
far as the yolk stalk. The first genera-
tion schizonts lie below the host cell nuclei
of the epithelial cells of the glands. The
second generation schizonts develop in
colonies in the epithelial cells of the deep
glands but also spread up the sides of the
villi. They usually lie just beneath the
brush border of the cell but are some-
times found below the host cell nucleus.
The third generation schizonts are found
in the epithelial cells of the villi but never
in the glands. Most of them lie above the
host cell nucleus, but some are below it.
The sexual stages are found mainly
in the epithelial cells at the tips of the
villi but also spread down the sides. The
great majority lie above the host cell
nucleus (Clarkson, 1959).
Geographic Distribution : Presumably
worldwide.
Prevalence : Quite common. Four
out of 22 outbreaks studied by Clarkson
and Gentles (1958) in Great Britain were
due to this species, and 3 to a mixture of
it and E. adenoeides.
Morphology : The morphology of this
species has been studied especially by
Tyzzer (1929), Hawkins (1952) and Clark-
son (1959). The oocysts are subspherical,
smooth, 16 to 27 by 13 to 22 jj. with a mean
of 19 by 16fi; 150 oocysts measured by
Clarkson (1959) were 20. li 1.95 by
17.3tl.7j:i. A micropyle is absent. One
to 3 oocyst polar granules are present.
An oocyst residuum is absent. The sporo-
cysts are ovoid, with a Stieda body. A
sporocyst residuum is present. The
sporozoites have a colorless globule at the
large end. The sporulation time is 2 days
according to Hawkins (1952), 1 day at 26°C
according to Clarkson (1959).
Life Cycle : Tyzzer (1929), Hawkins
(1952) and Clarkson (1959) studied the life
cycle of this species, the last using a
strain derived from a single oocyst. The
account below is that of Clarkson, which
is the most complete. The sporozoites
invade the tips of the villi and migrate
down the villi in the lamina propria until
they reach the glands. Young first gener-
ation schizonts can be found in the gland
epithelial cells as early as 12 hours after
infection, and many are mature by 48
hours. They usually measure 17 by ISfj,
and enlarge the host cell, pushing its
nucleus into the gland lumen. They con-
tain 80 to 100 merozoites which measure
about 4. 5 by 1. 5jj, and have the nucleus
at the larger end.
The first generation schizonts rupture
and release the merozoites, which invade
the adjacent epithelial cells, forming col-
onies of second generation schizonts.
Most of these are mature by 66 hours
after infection. They measure 8 by 7 |i
and contain 8 to 16 merozoites which
measure about 7 by 1. 5/i and have the
nucleus near the center.
Third generation schizonts may be
recognized as early as 72 hours after
224
THE TELOSPORASIDA AND THE COCCIDIA PROPER
infection and reach maturity at about 96
hours. They measure about 8 by 7/i and
differ from the second generation schi-
zonts in having a residuum. They produce
8 to 16 merozoites which measure about
7 by 1. 5ju and have the nucleus much
nearer the large end than do the second
generation schizonts.
Macrogametes and microgametocytes
first appear 114 hours after infection.
They measure about 15 by 11 /i, and the
microgametocytes contain a rounded res-
iduum. The microgametes have 2 long
flagella.
According to Hawkins (1952), the
prepatent period is 6 days. Clarkson
(1959) found that it ranged from 114 to 118
hours with an average of 116 hours.
The duodenal mucosa occasionally seems
to have undergone coagulation necrosis,
and pieces of caseous material may be
scattered in the lumen of the entire intes-
tine along with a large amount of fluid
which may have a pinkish tinge. The re-
mainder of the intestine is congested, and
petechial hemorrhages may be present in
the mucosa of most of the small intestine.
Regeneration of the mucosa begins on
the 6th or 7th day. A few petechiae are
present in the duodenum and jejunum, and
there are a few minute streaks of hemor-
rhage and spotty congestion in the ileum.
The posterior part of the jejunum and
ileum may contain greenish, mucoid casts
5 to 10 cm long and 3 to 6 mm in diameter,
and necrotic material may be found in the
ileum or feces.
Pathogenesis : This species is mod-
erately to markedly pathogenic, causing
catarrhal enteritis. The death rate is
high in young poults up to 6 weeks of age,
but older birds are more resistant. Haw-
kins (1952) found that infection with
50,000 sporulated oocysts produced a high
mortality in young poults, in some in-
stances killing 100% of 2- to 3- week-old
poults. Clarkson and Gentles (1958) and
Clarkson (1959) observed mortalities of
62%, 36% and 0%, respectively, in poults
1. 5, 3 and 4 weeks old fed 100, 000 oocysts;
of 40% and 100%, respectively, in 4-week-
old poults fed 300, 000 and 400, 000 oocysts;
and of 0% in 5- and 10-week-old poults fed
200, 000 and 2 million oocysts, respec-
tively. Food utilization is reduced in in-
fected birds, and those which recover do
not gain weight well for some time.
Lesions first appear at the end of the
4th day after infection (Hawkins, 1952;
Clarkson and Gentles, 1958; Clarkson,
1959). The jejunum is slightly thickened,
dilated, and contains an excessive amount
of clear, colorless fluid or mucus contain-
ing merozoites and small amounts of blood
and other cells. Five to 6 days after infec-
tion the duodenum is enlarged, its blood
vessels are engorged, and it contains a
reddish brown, necrotic core which ad-
heres firmly to the mucosa and extends a
little way into the upper small intestine.
Feed consumption begins to drop 2 to
3 days after infection, and 4 days after
infection the birds huddle together with
closed eyes, drooping wings and ruffled
feathers. Their droppings at this time
are scanty and slightly fluid. At the peak
of the disease, 5 to 6 days after infection,
some of the feces form cylinders 1 to 2
cm long and 3 to 6 mm in diameter. The
droppings are not bloody, altho a few flecks
of blood may occasionally be seen. Death
usually occurs 5 to 7 days after infection.
The first reaction of the host is local
infiltration of the whole intestine with
eosinophiles (Clarkson, 1959). This begins
within 2 hours after infection, reaches a
maximum in 1 to 2 days, and persists at
least 10 days. There are no striking ab-
normalities at 4 days, but at 5 days many
of the infected villi appear to have lost
their tips, all the duodenal blood vessels
are congested, and many of the epithelial
cells around the villi stain poorly and ap-
pear necrotic. These changes are present
also in birds which die on the 6th or 7th
days, but resolution is rapid in recovered
birds, and Clarkson (1959) saw very little
abnormality by the 8th day except for in-
creased cellularity of the lamina propria.
Immunity : According to Hawkins
(1952), the immunity produced by infections
with this species is not as solid as that
THE TELOSPORASIDA AND THE COCCIDIA PROPER
22S
produced by E. meleagridis , E. dispersa
and E. gallopavonis , but it is still con-
siderable.
EIMERIA DISPERSA
TYZZER, 1929
Hosts : Turkey, bobwhite quail, ring-
necked pheasant, ruffed grouse (?), sharp-
tailed grouse (?).
This species was first described by
Tyzzer (1929) from the bobwhite quail.
He also found it in the ring-necked pheas-
ant. Hawkins (1952) first found it in the
turkey. Boughton (1937) reported it from
the ruffed grouse (Eonasa umbellus ) and
sharp-tailed grouse (Pedioecetes pha-
sianelhis campestris). Tyzzer (1929)
transmitted it from the bobwhite to the
turkey, chicken (producing a light infec-
tion) and possibly to the pheasant. Venard
(1933) and Patterson (1933) were unable
to infect chickens with strains from the
bobwhite. Tyzzer (1929) transmitted it
from the pheasant to the bobwhite. Haw-
kins (1952) infected the bobwhite and
Hungarian partridge [Perdix perdix) with
E. dispersa from the turkey, but was un-
able to infect the pheasant or chicken.
Moore and Brown (1952) infected the bob-
white with a turkey strain, but, according
to Moore (1954), were unable to infect the
pheasant.
Location : Primarily duodenum, but
also small intestine.
Geographic Distribution :
America.
North
Prevalence : Presumably relatively
uncommon.
Morphology : The morphology of this
species was studied especially by Tyzzer
(1929) and Hawkins (1952). The oocysts
are broadly ovoid, smooth, 22 to 31 by 18
to 24 /J, with a mean of 26 by 21 /i . The
oocyst wall is composed of a single layer
and lacks a micropyle. An oocyst polar
granule and oocyst residuum are absent.
The sporocysts are ovoid, with a Stieda
body. The sporulation time is 2 days.
Life Cycle : Tyzzer (1929) and Haw-
kins (1952) studied the endogenous stages
of this species. They are found above the
nuclei of the epithelial cells near the tips
of the villi. There are apparently two
types of first generation schizonts. Much
the commoner is a small type about 6 ji in
diameter which produces 15 or fewer
merozoites each 4 to 6jj, long and Ijj, wide.
The other type measures up to 24 by 18 /j.
and produces at least 50 merozoites. The
first generation merozoites are formed by
the end of the second day of infection.
The second generation schizonts are
about 11 to 13/j. in diameter and produce
18 to 23 merozoites each 5 to 6(i long and
1. 5 to 2jLL wide about 4 days after infection.
There are a few third generation schi-
zonts and merozoites, but most of the sec-
ond generation merozoites develop into
sexual stages. The macrogametes are 18
to 20 ji in diameter when mature, and the
microgametocytes are slightly smaller.
The microgametes have 2 flagella. Oocysts
first appear in the feces late on the fifth or
on the sixth day after infection.
Pathogenesis : This species is only
slightly pathogenic in the turkey. Hawkins
(1952) found the most severe lesions on the
fifth and sixth days after experimental in-
fection. The entire small intestine was
markedly dilated and the duodenum and
anterior jejunum were creamy white when
seen thru the serosal surface. The anter-
ior half of the small intestine was filled
with creamy, yellowish, sticky, mucoid
material. The wall of the anterior intes-
tine was edematous, but there was little
epithelial sloughing. The intestinal tract
was virtually normal by the eighth day
after infection.
The only signs Hawkins saw in infected
turkeys were a slight tendency to produce
somewhat liquid feces and a slight depres-
sion in weight gains.
Immunity; According to Hawkins
(1952), turkeys which have recovered
from infection are strongly immune to re-
infection.
226
THE TELOSPORASIDA AND THE COCCIDIA PROPER
EIMERIA GALLOPAVONIS
HAWKINS, 1952
Host : Turkey.
Hawkins (1952) transmitted this spe-
cies experimentally to the Hungarian
partridge but not to the pheasant or bob-
white quail. Gill (1954) claimed to have
transmitted it from the turkey to the
chicken.
Location : Ileum, rectum and, to a
lesser extent, ceca.
Geographic Distribution : North
America, India.
Prevalence : Uncommon.
Morphology : This species was des-
cribed by Hawkins (1952, 1952a), who re-
marked that its oocysts cannot be differ-
entiated with any certainty from those of
E. meleagridis. The oocysts are ellip-
soidal, smooth, 22 to 33 by 15 to 19 /i
with a mean of 27 by 17 p., without a
micropyle. An oocyst polar granule is
present. There is no oocyst residuum.
The sporocysts are ovoid, with a Stieda
body. A sporocyst residuum is present.
The sporulation time is 1 day.
Life Cycle : Hawkins (1952) des-
cribed the life cycle of this species. The
endogenous stages are found in the epithel-
ial cells at the tips of the villi, where they
lie mostly above the host cell nuclei. The
first generation schizonts occur in the
ileum and rectum. They produce approx-
imately 8 merozoites and a residual mass
3 days after infection. There are appar-
ently two sizes of second generation schi-
zonts. The smaller ones occur in the
rectum, ileum and rarely in the ceca.
They produce 10 to 12 merozoites and a
residual mass 4 to 5 days after infection.
The larger second generation schizonts
occur only in the rectum. They are 20 ji
in diameter and produce a large, unde-
termined number of merozoites 4 days
after infection.
There are a few third generation
schizonts and merozoites in the rectum.
They produce about 10 to 12 merozoites.
These and most of the second generation
merozoites develop into sexual stages.
These are found primarily in the rectum
and only occasionally in the ileum and ceca.
The macrogametes and microgametocytes
are similar to those of other turkey proto-
zoa. Some oocysts are passed in the feces
on the sixth day after infection, but most
appear on the seventh day.
Pathogenesis : Little is known of the
pathogenicity of this species. Hawkins
(1952) noted marked edema, sloughing and
lymphocytic infiltration in the intestines,
but did not have sufficient material to
make a thoro study.
Immunity : According to Hawkins
(1952), infection with E. gallopaionis pro-
duces a more solid immunity than that
elicited by £. meleagridis, E. meleagri-
milis or E. dispersa.
EIMERIA ADENOEIDES
MOORE AND BROWN, 1951
Host: Turkey.
Moore and Brown (1951) were unable
to transmit this species to the chicken,
guinea fowl, ringnecked pheasant or bob-
white quail. Clarkson (1959a) was unable
to transmit it to the chicken.
Location : The first generation schi-
zonts (Clarkson, 1958) occur in the neck
of the ceca and in the terminal inch or so
of the ileum, where 80% of them lie below
the host cell nuclei of the epithelial cells.
The second generation schizonts occur
thruout the ceca, and some are found in the
rectum and posterior ileum. They lie above
the host cell nuclei of the epithelial cells,
just beneath the brush border. The sexual
stages occur thruout the ceca, rectum and
posterior third of the small intestine. A
few are found even more anteriorly, but
none more than halfway to the yolk sac
stalk. They invade the epithelial cells of
the crypts and deep glands, a location which
distinguishes them from E. meleagridis
and E. gallopavonis, and also apparently
the epithelial cells of the villi. Clarkson
THE TELOSPORASIDA AND THE COCCIDIA PROPER
227
(1958) illustrated them as lying above the
host cell nuclei.
Geographic Disti'ibution :
America, Great Britain.
North
Prevalence : Quite common. Fifteen
out of 22 outbreaks studied by Clarkson
and Gentles (1958) in Great Britain were
caused by this species and 3 by a mixture
of it and E. iiieleagriniitis.
Morphology : The oocysts have been
described by Moore and Brown (1951) and
Clarkson (1958). They are similar to
those of E. ))ieleagridis and E. gallopa-
vonis. They are ellipsoidal, sometimes
ovoid, smooth, 19 to 31 by 13 to 21 fi with
a mean of 26 by 17 /i. A micropyle is
sometimes present. One to 3 oocyst polar
granules are present. An oocyst residuum
is absent. The sporocysts are elongate
ovoid, apparently with a Stieda body. A
sporocyst residuum is present. The sporo-
zoites contain a clear globule at the large
end. The sporulation time is 1 day. Edgar
(1955) found sporulated oocysts as early as
18 hours at 29° C.
Life Cycle : Clarkson (1958) studied
the life cycle of this species, using a
strain derived from a single oocyst. First
generation schizonts can be found in the
epithelial cells as early as 6 hours after
infection. They become mature 60 hours
after infection; by 66 hours most of them
have released their merozoites, altho a
few remain up to 84 hours. The mature
first generation schizonts measure 30 by
18 |i and contain about 700 merozoites
measuring 4. 5 to 7 by 1 . 5 fi , with a central
nucleus.
The second generation schizonts be-
come mature 96 to 108 hours after infec-
tion. They measure 10 by lOjj and contain
12 to 24 merozoites measuring about 10 by
3|j., with the nucleus a little nearer the
rounded than the pointed end.
Sexual stages can be found as early as
114 hours and recognized as early as 120
hours after infection. The mature macro-
gametes measure about 20 by 18 /i and con-
tain many large, plastic granules which
f.tain black with Heidenhain's hematoxylin.
The mature microgametocytes are about
the same size as the macrogametes.
The prepatent period was given by
Moore and Brown (1951) as 112 hours.
Edgar (1955) found oocysts in the feces as
early as 104 hours, and Clarkson (1958)
found that the prepatent period varied from
114 to 132 hours in 30 birds.
The patent period is 7 to 8 days accord-
ing to Moore and Brown (1951). Clarkson
(1958) found that very few oocysts were
passed more than 14 days after infection,
and none after the 20th day.
Pathogenesis : This species is highly
pathogenic. Moore and Brown (1951) were
able to kill 100% of experimental poults up
to 5 weeks of age with large doses of spor-
ulated oocysts. Older poults developed a
severe enteritis with few or no deaths.
Clarkson (1958) and Clarkson and Gentles
(1958) observed mortalities of 0%, 0%,
45% and 100%, respectively, in 3-week-old
poults fed 10,000, 25,000, 100, 000 and
200,000 oocysts; of 33% in 6-week-old
poults fed 1 million oocysts; and of 0% in
11 -week-old poults fed 3 million oocysts.
Birds which did not die had decreased food
consumption and weight gains.
Poults develop signs of anorexia,
droopiness and ruffled feathers during the
4th day after experimental infection. If
death occurs, it is usually on the 5th or
6th days but may be a little later (Moore
and Brown, 1951).
The gross lesions have been studied
by Moore and Brown (1951), Clarkson
(1958) and Clarkson and Gentles (1958).
The intestines appear quite normal until
the 4th day. The walls of the lower third
of the small intestine, ceca and rectum
become swollen and edematous, petechial
hemorrhages which are visible from the
mucosal but not from the serosal surface
appear, and the lower intestine becomes
filled with mucus.
During the 5th day, most of the ter-
minal intestine is congested and contains
large numbers of merozoites and long
228
THE TELOSPORASIDA AND THE CCXCIDIA PROPER
streaks of blood. By the end of the day,
the intestine contains caseous material
composed of cellular debris, gametes,
and a few immature oocysts. A little later
the caseous exudate is composed largely
of oocysts. The feces in severe cases are
relatively fluid and may be blood-tinged
and contain mucous casts 1 to 2 inches long.
Caseous plugs are sometimes present in
the ceca.
Since E. adenoeides is found in the same
locations as E. meleagridia and E. gal-
lopavonis, and since its oocysts are ap-
parently similar to theirs, this lack of
reciprocal immunity is an important dif-
ferentiating criterion. The only other dif-
ferences are its greater pathogenicity ancj
its location in the crypts and deep glands
rather than only in the tips of the villi.
On the 6th to 8th days in birds infected
with 10,000 oocysts, the terminal intestine
contains white, creamy mucus, and pete-
chiae are present in the mucosa. By the
9th day the intestinal contents appear nor-
mal, altho they still contain large numbers
of oocysts (Clarkson, 1958).
Infiltration with eosinophiles commen-
ces as early as 2 hours after infection,
and enormous numbers of eosinophiles
may be found in the terminal small intes-
tine, ceca and rectum from the 3rd to the
10th days.
Beginning 4 days after infection, ed-
ematous changes are seen in the intestine,
and infected epithelial cells begin to break
off, leaving the villi denuded. The blood
vessels become engorged, and cellular
infiltration of the submucosa and epithel-
ial denudation increase progressively until
the 6th day. In birds which recover from
the disease or which have received rela-
tively few oocysts, resolution is very
rapid. Vascularity is greatly reduced,
the deep glands are almost free of para-
sites by the 7th day, and the intestine is
almost normal by the 9th or 10th day
(Clarkson, 1958).
Clarkson (1958) found no changes in
the blood picture of infected poults.
Immunity : Moore and Brown (1951)
produced solid immunity to E. adenoeides
by infecting turkey poults with 25 doses of
sporulated oocysts over a period of 2
months. These birds were not immune to
E. meleagridis . Conversely, poults which
had been immunized against E. meleagridis
were not immune to E. adenoeides. Clark-
son (1959a), too, found no cross immunity
between E. meleagridis and E. adenoeides .
EIMERIA INNOCUA
MOORE AND BROWN, 1952
Host : Turkey.
Moore and Brown (1952) were unable
to infect the chicken, guinea fowl, ring-
necked pheasant and bobwhite quail with
E. innocua.
Location: Thruout the small intestine.
Geographic Distribution :
America (New York).
North
Prevalence : Apparently uncommon.
Morphology : The oocysts of this
species were described by Moore and
Brown (1952). They are subspherical,
smooth, 19 to 26 by 17 to 25 ji with a mean
of 22 by 21 ^t, and without a micropyle or
oocyst polar granule. No other morpho-
logical information was given. The sporu-
lation time is 2 days.
Life Cycle : Unknown. The endogen-
ous stages occur in the epithelial cells of
the villi. The tips of the villi are most
heavily parasitized, while the crypts and
deep glands are never affected. According
to Moore and Brown (1952), oocysts first
appear in the feces 5 days after infection,
and the patent period is up to 9 days.
Pathogenesis : This species is non-
pathogenic according to Moore and Brown
(1952). They observed no macroscopic
lesions, even in heavy infections; poults
less than 5 weeks old showed no signs of
illness and had no diarrhea.
Immunity : Moore and Brown (1952)
immunized turkey poults by infecting them
THE TELOSPORASIDA AND THE COCCIDIA PROPER
229
with 4 to 7 doses of oocysts over a period
of 22 to 29 days. The immunized birds
were not immune to E. dispersa, the
species which E. innocua most closely
resembles, and turkeys immunized against
E. dispersa were susceptible to infection
with E. innocua.
EIMERIA SUBROTUNDA
MOORE, BROWN AND CARTER, 1954
Host : Turkey.
Moore, Brown and Carter (1954) were
unable to infect the chicken, guinea fowl,
ringnecked pheasant or bobwhite quail with
this species.
Location: Duodenum, jejunum and
upper ileum as far as 2 inches anterior to
the yolk stalk rudiment.
Geographic Distribution :
America.
North
Prevalence : Apparently uncommon.
Morphology : This species closely
resembles E. innocua, according to
Moore, Brown and Carter (1954). The
oocysts are subspherical, smooth, 16 to
26 by 14 to 24 jj. with a mean of 22 by 20 ji ,
without a micropyle or polar granule. No
other morphological information was given.
The sporulation time is 48 hours.
Life Cycle : Unknown. According to
Moore, Brown and Carter (1954), the en-
dogenous stages occur in the epithelial
cells of the tips of the villi, extend along
the sides of the villi to some extent, but
never invade the crypts and deep glands.
Oocysts first appear in the feces 96 hours
after infection, and the patent period is 12
to 13 days.
Pathogenesis : This species is appar-
ently non- pathogenic. Moore, Brown and
Carter (1954) observed no signs of infec-
tion, diarrhea or gross lesions in poults
less than 5 weeks old which had been in-
fected with massive doses of sporulated
oocysts.
Immunity : Moore, Brown and Carter
(1954) immunized turkey poults by feeding
them 10,000 to 15,000 sporulated oocysts
every 4 days until they ceased to shed
oocysts; this occurred in less than a month.
Poults which had been immunized against
E. subrotunda were not immune to E.
innocua and E. dispersa, and poults which
had been immunized against the latter two
species were not immune to E. subrotunda.
This was the primary basis for separating
E. subrotunda from E. innocua.
COCCIDIOSIS IN TURKEYS
Epidemiology : Coccidiosis in turkeys
has been discussed by Morehouse (1949),
Hawkins (1952), Moore (1954) and Becker
(1959) among others. The U. S. Dept. of
Agriculture (1954) estimated that it caused
an annual loss of $466,000 from 1942 to
1951, and it is becoming of increasing im-
portance to the turkey grower.
Of the 7 species of Eimeria, 1 of
Isospora and 1 of Cryptosporidium reported
from turkeys, by far the most important
are E. meleagriniitis and E. adenoeides.
The former affects the jejunum and the
latter the lower ileum, ceca and rectum.
Coccidiosis is primarily a disease of
young birds. Older birds are carriers.
Poults become infected by ingesting
oocysts along with their feed or water.
The severity of the disease depends on the
number of oocysts they receive. If they
ingest relatively few, they may develop
immunity without ever showing signs of
illness, while if they ingest large numbers,
they may become seriously ill or die.
Crowding and lack of sanitation greatly
increase the disease hazard.
Diagnosis : Coccidiosis of turkeys
can be diagnosed in the same way as coc-
cidiosis of chickens by finding endogenous
stages of the coccidia in scrapings of the
affected parts of the intestinal tract of
birds which show signs of the disease.
The mere presence of coccidia in the ab-
sence of disease cannot be relied on. Since
several species of turkey coccidia
230
THE TELOSPORASIDA AND THE COCCIDIA PROPER
(E. innociia, E. subyolunda a.nd E. niele-
agridis in particular) are non- pathogenic
or nearly so, they must be differentiated
from the pathogenic E. nieleagriiuUis
and E. adenoeides. The sporulated oocysts
of both the latter have polar bodies, which
differentiates them from all but E. Diele-
agridis and E. gallopavonis . The oocysts
of E. »ielecigyi»iilis are ellipsoidal, but
apparently only pathogenesis and absence
of cross-immunity differentiates E.
adenoeides from the other two. This last
is hardly a practical diagnostic test, since
it requires a colony of turkeys immunized
against the various species.
Treatment : The sulfonamides are
effective against a number of the turkey
coccidia. Morehouse (1949a) found that
only one of 6 sulfonamides was ineffective
against E. nieleagridis. Peterson (1949a)
found that several sulfonamides were ef-
fective against E. nieleagriniitis. Moore
(1949) found that 0.031% sulfaquinoxaline,
1% sulfaguanidine or 0. 5% sulfamerazine
in the feed was effective against turkey
coccidiosis. Wilson (1951) reported that
0. 06% sodium sulfaquinoxaline in the
drinking water stopped losses from E.
nieleagridis and E. Dieleagriniltis in a
natural outbreak. (Their cultures oiE.
nieleagridis may have contained E.
adenoeides, a species which had not yet
been named at the time. ) Boyer and
Brown (1953) found that 0.0175% acetyl-
sulfaquinoxaline in the feed or 1-1000 to
1-2000 sulfamethazine in the water was
effective against E. adenoeides, E. gal-
lopavonis, E. meleagridis, E. innocua,
E. subrotunda, E. dispersa andE. mele-
agrimitis. Horton-Smith and Long (1959)
found that 0.0125% sulfaquinoxaline in the
feed was effective against E. nieleagri-
mitis.
Other coccidiostats used in treating
chickens have not been found so useful in
turkeys. Morehouse (1949) found that
sodium 4-chlorophenyl arsonate was the
most effective of 10 organic arsenic com-
pounds to be tested against E. meleagri-
dis, but that its effective dose was too
close to the toxic one. Another organic
arsenic compound, 3-nitro-4-hydroxy-
phenyl arsonic acid was of less value.
Boyer and Brown (1953) found that
nitrophenide, 2-amino-5-nitrothiazole,
sulfisoxazole, nitrofurazone and furoxone
were not effective coccidiostatic agents in
the turkey. Cuckler et at. (1955) reported
that nicarbazin was effective against E.
galloparonis and E. nteleagrimitis, but
Horton-Smith and Long (1959) found that
it was ineffective against £. nieleagrimilis
and in addition found that nitrofurazone and
glycarbylamide were also ineffective
against this species.
Prevention and Control : The same
measures should be used for the prevention
and control of coccidiosis in turkeys as in
chickens.
EIMERIA TRUNCATA
(RAILLIET AND LUCET, 1891)
WASIELEWSKI, 1904
Synonym : Coccidium truncatum.
Hosts: Domestic goose, greylag
goose {Anser anser), Ross's goose {A.
rossi), Canada goose {Branta ca>iadensis)
(see Levine, 1953; Hanson, Levine and
Ivens, 1957). In addition to these, Pavlov
(1942) reported finding E. truncata in
domestic ducks in Bulgaria, and Christian-
sen (1948, 1952) found oocysts resembling
E. truncata but smaller in the kidneys of
young swans {Cygniis olor) and common
eiders [Soniateria niollissima) in Denmark.
Location : Kidneys.
Geographic Distribution : Worldwide.
Prevalence : Relatively uncommon in
domestic geese, at least in North America.
Morphology : This species has been
described by Kotlan (1933) and Lerche
(1923) among others. The oocysts are
ovoid, with a narrow, truncate, small
end, and measure 14 to 27 by 12 to 22 fi.
The oocyst wall is smooth and delicate,
shrinking quickly during concentration in
hypertonic solutions. A micropyle with a
polar cap is present. An oocyst residuum
is sometimes present. A sporocyst resi-
duum is present. The sporulation time is
1 to 5 days.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
231
Life Cycle : The endogenous stages
occur in the epithelial cells of the kidney
tubules. The life cycle has not been
studied in detail. The prepatent period is
5 to 6 days according to Kotlan (1933).
Pathogenesis : E. truncata is highly
pathogenic for goslings, sometimes wiping
out whole flocks within a few days. The
disease is usually acute, lasting only 2 or
3 days. Affected birds are extremely
weak and emaciated. Their kidneys are
greatly enlarged, light-colored, with
small, yellowish white nodules, streaks
and lines on the surface and thruout the
parenchyma. The infected epithelial cells
are destroyed, and adjacent, uninfected
cells are also destroyed by pressure.
The infected tubules are so filled with
urates and oocysts that they are enlarged
to 5 to 10 times the diameter of normal
tubules.
Epidemiology : E. truncata occurs
only sporadically in domestic geese in
North America. It was first described in
the United States by McNutt (1929) in
Iowa, and has since been reported by
Allen (1933) in Washington, D. C, Adler
and Moore (1948) in Washington state,
Levine, Morrill and Schmittle (1950) in
Illinois, Lindquist, Belding and Hitchcock
(1951) in Michigan, Farr and Wehr (1952)
in Maryland, and McGregor (1952) in
Ontario. It has also been found in New
York and Quebec.
The epidemiology of E. truncata in
wild geese is especially interesting (Han-
son, Levine and Ivens, 1957). It has
been found in the greylag goose {Anser
anser) in Europe by Christiansen and
Madsen (1948), and in Ross's goose {A.
rossi) and the Canada goose {Branta cana-
densis) in North America. However, of
the 6 wild goose flyways which form ver-
tical bands across North America, E.
truncata has been found only in the South
Atlantic and Pacific flyways, and not from
the flyways in between. It is common
among Canada geese of the South Atlantic
flyway, and has been associated with
losses at their winter quarters at Pea
Island, North Carolina (Critcher, 1950).
Its apparent absence from wild geese in
the interior flyways does not seem due to
the examination of too few birds, since
Hanson, Levine and Ivens (1957) failed to
find it in 258 wild geese from these fly-
ways altho they recognized it in birds from
both coasts. Perhaps E. truncata was
originally a parasite of greylag and domes-
tic geese in Eurasia and has reached North
American wild geese relatively recently,
entering from both the east and west.
EIMERIA ANSERIS
KOTLAN, 1932
Hosts : Domestic goose, blue goose
(Anser caerulescens), Richardson's
Canada goose {Branta canadensis hutch-
ins i).
Location : Small intestine, mainly
posterior part.
Geographic Distribution : Europe,
North America.
Prevalence : E. anser is has been
reported from domestic geese only in
Europe (Kotlan, 1933; Cerna, 1956) and
is apparently not particularly common
there. Hanson, Levine and Ivens (1957)
found it in 4% of 73 blue geese from Ft.
Severn and Weenusk, Ontario and in 33%
of 6 Richardson's Canada geese from
York Factory, Manitoba.
Morphology : This species was des-
cribed in detail by Hanson, Levine and
Ivens (1957). The oocysts have the form
of a sphere surmounted by a truncate
cone, with a micropyle at the truncate end,
and measure 20 to 24 by 16 to 19 /i with a
mean of 22 by 11 \x (16 to 23 by 13 to 18 /i
according to Kotla'n, 1933). The oocyst
wall is smooth, colorless, composed of a
single layer about 1 \i thick, and slightly
thickened around the micropyle but incised
sharply to form a plate or shelf across the
micropyle itself. The oocyst residuum is
a mass of amorphous material just beneath
the micropyle and forming a seal beneath
it. An oocyst polar granule is absent.
The sporocysts are ovoid and almost com-
pletely fill the oocyst. The sporocyst
wall is slightly thickened at the small end.
232
THE TELOSPORASIDA AND THE COCCIDW PROPER
The sporocysts are 10 to 12 by 7 to 9 /i.
A sporocyst residuum is present. The
sporozoites often lie more or less trans-
versely at the anterior and posterior ends
of the sporocyst. The sporulation time is
1 to 2 days according to Kotlan (1933).
Life Cycle : The endogenous stages
have been described by Kotlan (1933).
They occur in compact clumps under the
intestinal epithelium near the muscularis
mucosae and also in the epithelial cells of
the villi. The schizonts are spherical,
12 to 20 ji in diameter, and contain 15 to
25 slightly curved, crescent-shaped mero-
zoites. There is probably only a single
asexual generation. The sexual stages
are found mostly in the subepithelial tis-
sues of the villi, but invade the epithelium
in heavy infections. The macrogametes
measure 12 to 16 by 10 to 15 /i. The mi-
crogametocytes are spherical and about
the same size. Oocysts first appear in
the feces 7 days after infection, and the
patent period is 2 to 8 days.
Pathogenesis : Kotlan (1933) reported
that experimental infections in 2.5- to
3-month-old geese were harmless, but
described two outbreaks of intestinal coc-
cidiosis in goslings which he considered
due to a combination of E. anseris and
E. nocens.
EIMERIA NOCENS
KOTLAN, 1933
Hosts: Domestic goose, blue goose
{Anser caerulescens).
Location: Posterior part of small
intestine.
Geographic Distribution : Europe,
North America.
Morphology : The sporulated oocysts
were described by Hanson, Levine and
Ivens (1957). They are ovoid but flattened
at the micropylar end, 29 to 33 by 19 to
24 /i with a mean of 31 by 22 /i (25 to 33 by
17 to 24 |i according to Kotlan, 1933). The
oocyst wall is smooth and composed of 2
layers, the outer one 1. Sji thick and pale
yellow, the inner one 0.9(1 thick and al-
most colorless. A prominent micropyle
is present. A true micropylar cap is ab-
sent, but the micropyle appears to be
present only in the inner wall and is cov-
ered by the outer wall. An oocyst polar
granule and oocyst residuum are absent,
but part of the oocyst wall often forms one
or more roundish protuberances just below
the micropyle. The sporocysts are broadly
ellipsoidal, with a thin wall and sometimes
with a very small Stieda body. The sporo-
cysts are 10 to 14 by 8 to IOjll with a mean
of 12 by 9 /J.. The sporozoites usually lie
head to tail in the sporocysts and contain
2 or more large, clear globules which al-
most obscure their outline. The sporocyst
residuum fills the space between sporo-
zoites.
Life Cycle : According to Kotlan
(1933), the endogenous stages are found
primarily in the epithelial cells at the tips
of the villi, but they may also occur be-
neath the epithelium. The younger devel-
opmental stages lie near the host cell nu-
clei, but as they grow they not only dis-
place the nuclei but also destroy the host
cell and come to lie free and partly be-
neath the epithelium. The schizonts are
spherical, 15 to 30 fi in diameter, and con-
tain 15 to 35 merozoites. The macroga-
metes are usually ellipsoidal or irregularly
spherical, uniformly coarsely granular,
and measure 20 to 25 by 16 to 21 /j, . The
microgametocytes are spherical or ellip-
soidal and measure 28 to 36 by 23 to 31 ji.
Prevalence : E. nocens has been re-
ported from the domestic goose only in
Europe (Kotlan, 1933; Cerna, 1956), and
is apparently not particularly common
there. Hanson, Levine and Ivens (1957)
found it in blue geese from Ft. Severn
and Weenusk, Ontario.
Pathogenesis : Kotlan (1933) described
2 outbreaks of intestinal coccidiosis in
goslings in Hungary in which he found both
E. nocois and E. anseris. Since the latter
is apparently non- pathogenic, the disease
was presumably due to E. nocens.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
233
EIMERIA PARVULA
KOTLAN, 1933
Host : Domestic goose.
Location : Small intestine, primarily
posterior part.
Geographic Distribution : Europe.
Prevalence : This species is com-
mon in geese in Hungary, according to
Kotlah (1933).
Morphology : This species was des-
cribed by Kotlin (1933). The oocysts are
spherical or subspherical, smooth, color-
less, delicate, 10 to 15 by 10 to 14 p.,
without a micropyle. No other morpho-
logical details were given.
Life Cycle : Unknown. According to
Kotlan (1933), the endogenous stages are
found almost exclusively in the epithelial
cells of the villi. Oocysts first appear in
the feces 5 days after infection.
Pathogenesis : According to Kotlan
(1933), this species is non- pathogenic.
EIMERIA ANATIS
SCHOLTYSECK, 1955
Host : Wild mallard (Anas platyrhyn-
chos). Scholtyseck did not find this spe-
cies in 6 domestic ducks, which he called
A. domes tica.
Location : Small intestine.
Geographic Distribution : Europe
(Germany).
Prevalence : Scholtyseck (1955) found
this species in 5 of 32 wild mallards.
Morphology : The oocysts are ovoid,
14 to 19 by 11 to 16fi with a mean of 17
by 14 /J.. The oocyst wall is smooth, about
0. 7 to 1.0 /i' thick, with a thickened ring
forming shoulders around the micropyle.
An oocyst residuum and polar granule are
absent. The sporocysts are elongate
ovoid or ellipsoidal, with a slight thicken-
ing at the small end but not a true Stieda
body. A few sporocyst residual granules
are present between the sporozoites.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : Tiboldy (1933) reported
Eimeria sp. oocysts in domestic ducks in
Hungary. They were ovoid, elongate ovoid
or occasionally spherical are measured 11
to 25 by 8 to 13 /i . Their relationship to
E. anatis is unknown.
EIMERIA LABBEANA
PINTO, 1928
Synonyms : Coccidium pfeifferi,
Ewieria pfeifferi, Eimeria coliimbarum.
Hosts: Domestic pigeon, ring dove
(ColiDuba palumbus), turtle dove (Strep-
topelia turtur), Streptopelia orientalis
meena (see Scholtyseck, 1956).
Location : Small and large intestine.
Geographic Distribution : Worldwide.
Prevalence : Common.
Morphology : The oocysts are sub-
spherical to spherical, colorless or
slightly yellowish brown, 13 to 24 by 12 to
23jLi. The oocyst wall is composed of 2
layers, the inner one darker than the outer.
There is no micropyle. An oocyst polar
granule is present. An oocyst residuum
is absent. The sporocysts are elongate
ovoid, with a Stieda body. A sporocyst
residuum is present. The sporozoites lie
lengthwise, head to tail, in the sporocysts.
They are slightly crescent-shaped, with
one end wider than the other, a vacuole at
each end and the nucleus near the middle.
Nieschulz (1935) separated this species
into two on the basis of size. He retained
the name E. labbeana for the smaller form,
which measured 13 to 24 by 12 to 22 jn
(usually 15 to 18 by 14 to 16jj,) with a mean
of 18 by 15(i. He named the larger form
E. columbarum ; it measured 17 to 24 by
234
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Fig. 30. Sporulated oocyst of Eimeria lab-
beana of the pigeon. X 1700.
(From Nieschulz, 1935)
16 to 22 11 (usually 19 to 21 by 17. 5 to 20 fi )
with a mean of 20 by 19 ji. On the other
hand, Duncan (1959), in a study of infec-
tions in more than 300 pigeons, measured
a large but unspecified number of oocysts
at various times during the patent period
and found that the overall range was 14. 5
to 24 by 13 to 22. 5 (i with an overall mean
of 19 by 11 IX . However, smaller oocysts
appeared early in the infection in 13 birds,
and in 10 of them they increased in size to
approximately the overall average by the
end of the patent period. These small
oocyst strains averaged 15 to 18 by 14 to
17ji. It would appear, therefore, that £.
columbarum is a synonym of E. labbeaiia.
Life Cycle : Nieschulz (1925a) des-
cribed the endogenous stages and also gave
one of the few descriptions extant of early
sporogony in the coccidia. Soon after the
macrogametes are fertilized and the
oocysts are formed, the zygote contracts
into a ball within the oocyst wall. A fer-
tilization spindle then forms; it is a clear
band which passes thru the center of the
sporont and forms extensions which reach
to the oocyst wall. This band then dis-
appears and the sporont rounds up again,
but a refractile granule is left in the
oocyst. Altho Nieschulz did not recognize
it as such, this was undoubtedly reduction
division with the throwing off of a polar
granule. Four prominences form on the
sporont, which then divides to form 4
spherical sporoblasts. These become
rather triangular or elongate ovoid, and
a clear area appears at the pointed end
(pyramid stage). The sporoblasts round
up again, and finally elongate to form
elongate ovoid, pointed sporocysts in
which the sporozoites develop. The spor-
ulation time is 4 days or less (Duncan,
1959a).
After the sporulated oocysts are in-
gested, the sporozoites are released and
invade the epithelial cells of the intestine.
They round up and grow into mature schi-
zonts in 3 days. Each schizont produces
about 15 to 20 merozoites, often leaving a
residual body. The merozoites are some-
what crescent-shaped, pointed at the ends,
and 5. 5 to 9 /J. long. There is a second
generation of schizonts which Nieschulz
thought might be extracellular. These are
elongate, up to 18 by 5 ^i, and form up to
16 merozoites.
The microgametocytes form a large
number of biflagellate microgametes about
2>\i long with flagella 10/i long. The ma-
crogametes have a row of large plastic
granules around their periphery. Nieschulz
figured what was probably a fertilized ma-
crogamete in which a microgamete nucleus
was approaching the macrogamete nucleus
in a clear pathway thru the cytoplasm.
After fertilization, the plastic granules
coalesce to form the oocyst wall. Oocysts
first appear in the feces 6 days after in-
fection.
Pathogenesis : E. labbeatia is
slightly to markedly pathogenic, depending
in part upon the age of the birds (Levi,
1957). Adults are fairly resistant, altho
fatal infections have been seen. The birds
become weak and emaciated, eat little but
drink a great deal, and have a greenish
diarrhea. The heaviest losses occur
among squabs in the nest. A high percent-
age of the squabs may die, and those which
recover are often somewhat stunted.
The principal gross lesion is inflam-
mation thruout the intestinal tract.
Diagnosis : Diagnosis depends on
recognizing the oocysts and other stages in
the intestine in association with the signs
and lesions of the disease.
Treatment : According to Lindsay
(cited by Levi, 1957), sulfaquinoxaline is
effective against E. labbeana.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
235
Prevention and Control : The same
measures used to control coccidiosis in
chickens are effective against the disease
in pigeons. General sanitation and dry
quarters are especially important.
EIMERIA COLUMBAE
MITRA AND DAS GUPTA, 1937
Host : Indian pigeon {Columba livia
intermedia).
Location: Intestine.
Geographic Distribution : India.
Prevalence : Unknown.
Morphology : The oocysts of this
species have not been completely des-
cribed. They are subspherical, have a
maximum size of 16 by 14 /j, and differ
from E. labbeana in having an oocyst
residuum, according to Mitra and Das
Gupta (1937).
Life Cycle : Unknown.
Pathogenesis: Unknown.
Genus ISOSPORA Schneider, 1881
In this genus the oocyst contains 2
sporocysts, each of which contains 4
sporozoites.
ISOSPORA AKSAICA
BASANOV, 1952
Host : Ox.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : USSR
(Kazakhstan).
Prevalence : Unknown. This species
was found only in calves 12 to 30 days old.
Morphology : The oocysts are 26 ii in
diameter, spherical, dark silver under
low magnification and light, pinkish grey
under high. The oocyst wall is 1.6^ thick,
smooth and double -contoured, with a light
blue outer layer and a greenish, dingy
rose inner layer. The sporocysts are el-
lipsoidal or spherical, 22 by 15 /i. Micro-
pyle, oocyst residuum and sporocyst resi-
duum are presumably absent. Polar
granules are possibly present. The sporo-
zoites are spherical, bean-shaped or
ellipsoidal, 1 5 by 1 1 jj, .
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : There is a question
whether this is actually a valid species of
bovine coccidium or whether it is a pseudo-
parasite, i.e., an avian or other foreign
coccidium which the cattle had ingested
along with its host's feces. Further work
will be necessary to decide this point.
The subjacent discussion of the Isospora
species found by Levine and Mohan (1960)
in cattle has a bearing on /. aksaica also.
ISOSPORA sp.
LEVINE AND MOHAN, 1960
Hosts : Ox and ox-zebu hybrids.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution :
America (Illinois).
North
Prevalence : Levine and Mohan (1960)
found this form in 6 out of 54 beef cattle
on 3 farms in central Illinois.
Morphology : The oocysts are usually
subspherical, occasionally spherical, 21
to 33 by 20 to 32 ^ with a mean of 27 by
25 ji. The oocyst wall is smooth, color-
less, pale lavender or pale yellowish,
composed of a single layer about 1 ji thick.
In some oocysts, the wall appeared to be
lined by a thin membrane. A micropyle
and oocyst residuum are absent. Several
oocyst polar granules are present. The
sporocysts are lemon-shaped, quite thick-
walled, 14 to 20 by 10 to 12 ^x with a mean
236
THE TELOSPORASIDA AND THE COCCIDIA PROPER
of 17 by 11 /i. The sporocyst Stieda body
is a button-shaped cap, with a dependent,
globular hyaline mass protruding into the
interior of the sporocyst. The sporocyst
residuum is finely granular. The sporo-
zoites are sausage-shaped, not arranged
in any particular order in the sporocyst.
The sporocyst residuum and sporozoites
are enclosed in a membrane, forming
more or less of a ball within the sporo-
cyst.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : Levine and Mohan (1960)
compared this form with /. lacazei of the
English sparrow, which they redescribed.
They found that the 2 forms were practi-
cally indistinguishable and concluded that
the oocysts found in bovine feces were
most likely those of /. lacazei and were
pseudoparasites of cattle. They calculated
that, in a steer which produced about 20
pounds of feces per day, the presence of
1 oocyst per gram of feces would represent
contamination of the feed with about 9000
oocysts, assuming that the oocysts were
mixed uniformly with the ingesta and
passed thru the animal unchanged. Assum-
ing again that a flotation was carried out
with about 2 g of feces and that about 10%
of the oocysts present were recovered,
they calculated that every oocyst found
might represent an initial contamination
of a day's feed with about 45, 000 oocysts.
Since Boughton (1933) quite frequently ob-
tained counts of 200,000 to 2 million
oocysts per gram of dried sparrow feces,
they considered it quite likely that spar-
row coccidia could be detected in a calf's
feces if it ingested only a single fecal
deposit from a single sparrow in the
course of a day.
ISOSPORA SUIS
BIESTER, 1934
Host : Pig.
Location : Small intestine, from the
lower third of duodenum to 2 or 3 feet
from the ileocecal valve.
Geographic Distribution : North
America (Iowa), USSR (Kazakhstan).
Prevalence : Unknown.
Morphology : This species has been
described by Biester (1934) and Biester
and Murray (1934). The oocysts are sub-
spherical to ellipsoidal, becoming more
ellipsoidal on sporulation. The oocyst
wall is often stretched by the oocysts and
pinched in between them. It is smooth,
composed of 2 layers, brownish yellow,
and 1.5(i thick. A micropyle is absent.
The unsporulated oocysts measure 20 to
24 by 18 to 21 fi with a mean of 22. 5 by
19.4/1. An oocyst polar granule is pres-
ent. An oocyst residuum is absent. The
sporocysts are ellipsoidal, 16 to 18 by
10 to 12 /i with a mean of 16.4 by 11. 2u.
The sporocyst wall is double, 0. 7|i thick.
The sporozoites are elongate. A sporo-
cyst residuum is present. A Stieda body
is absent. The sporulation time is 4 days.
Life Cycle : According to Biester and
Murray (1934), /. suis invades the epithe-
lial cells of the intestine. Many of these
invaded cells migrate to a subepithelial
position, but often both the host cells and
the parasite appeared to undergo retro-
gressive changes and to be desquamated.
The prepatent period after experi-
mental infection is 6 to 8 days, and oocysts
continue to be eliminated for about 8 days
after a single infective feeding.
Pathogenesis : According to Biester
and Murray (1934), /. sids causes a catar-
rhal enteritis. The epithelium of the
crypts is destroyed except near the intes-
tinal lumen. The substantia propria of
the tips of the villi is destroyed, leaving
a reticular honeycomb without cells or
nuclei. Interstitial inflammation with
marked eosinophilic infiltration is present,
but there is no gross hemorrhage.
Diarrhea began about the 6th day af
after experimental infection, continued
for 3 or 4 days, and was followed by con-
stipation. /. suis infections are appar-
ently not fatal, but they may retard growth
and produce unthriftiness.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
237
Cross-Transmission Studies : Biester
and Murray (1934) and Biester (1934) re-
ported that attempts to transmit /. sids
to guinea pigs, rats, and dogs were un-
successful.
ISOSPORA ALMATAENSIS
PAICHUK, 1953
Host : Pig.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : USSR
(Kazakhstan).
Prevalence : Unknown.
Morphology : This species was des-
cribed by Paichuk (1953). The oocysts
are short-oval, subspherical or spherical,
and grey. The short-oval forms are 25
to 32 by 23 to 29 jj, with a mean of 27. 9 by
26. \i ; the spherical forms are 26 to 32 [i
in diameter with a mean of 27. 7 /j. . The
oocyst wall is smooth, bright yellow, "i^i
thick, and composed of 3 layers. A mi-
cropyle is apparently absent. The oocysts
sometimes have 2 sporoblasts when
passed. Oocyst polar granules are pres-
ent. An oocyst residuum is absent. The
sporocysts are oval or ovoid with a
pointed end, 12 to 19 by 9 to 12 /i with a
mean of 15.5 by 10. 8 /i . A sporocyst
residuum is present. The sporozoites are
short-oval, 6 by 4jj.. The sporulation
time is 5 days.
Life Cycle : Unknown.
Pathogenesis : Unknown.
ISOSPORA BIGEMINA
(STILES, 1891)
LUHE, 1906
Synonyms : Coccidium bigeminum,
Liicetina bigemina.
Hosts : Dog, cat, fox, polecat (Pu-
toriiis foetidus), mink (Mustela vison),
man (?).
Location: Thruout small intestine.
Geographic Distribution : Worldwide.
Prevalence : This species is quite
common in dogs and cats. Gassner (1940)
found it in 74% of 320 dogs in Colorado.
Catcott (1946) found it in 3% of 113 dogs
in Ohio. Choquette and Gelinas (1950)
found it in 2% of 155 dogs in Montreal.
Ehrenford (1953) found it in 0.7% of 377
dogs in Indiana and other midwestern
states. Hitchcock (1953) found it in 1% of
147 kittens in Michigan. Levine (1948)
reviewed reports of this species in Mus-
telidae.
Morphology: The oocysts are very
thin-walled, spherical to ellipsoidal when
unsporulated, but with the wall stretched
around the sporocysts and usually con-
stricted somewhat between them when
sporulated. The oocyst wall is smooth,
colorless, and composed of a single layer.
Two sizes of oocyst have been reported.
The larger ones measure 18 to 20 by 14
to 16 |i, and the smaller, more common
ones 10 to 14 by 7 to 9 ^t. Micropyle,
oocyst polar granule and oocyst residuum
are absent. The sporocysts are ellip-
soidal, 7. 5 to 9 by 5 to 7 |:x, without a
Stieda body. A sporocyst residuum is
present. The oocysts are sporulated
when passed. The oocyst wall is often
ruptured so that the sporocysts are found
free in the feces. In acute infections, the
oocysts may be unsporulated when passed;
their sporulation time is about 4 days.
Life Cycle : The life cycle of this
species has been studied by Wenyon (1926a)
and Wenyon and Sheather (1925). The
endogenous stages occur thruout the small
intestine. Altho the course of infection has
not been followed consecutively in a series
of experimentally infected animals, it ap-
pears that the epithelial cells are invaded
first, followed later on by the subepithelial
cells. At any rate, Wenyon and Sheather
(1925) found coccidia only in the epithelial
cells of a dog killed during the acute phase
of the infection. The schizonts of this
stage contain 8 merozoites. Later on, the
coccidia are found in the subepithelial
cells and cores of the villi. The schizonts
238
THE TELOSPORASroA AND THE COCCIDIA PROPER
here contain about 12 merozoites. Sexual
stages appear to be produced in both loca-
tions. The oocysts produced in the epithe-
lial cells during the acute phase are
unsporulated when passed in the feces.
They appear 6 to 7 days after infection.
The oocysts produced in the subepithelial
cells are sporulated when passed. A
number of unanswered questions are raised
by this account, and the whole life cycle
deserves re-investigation.
Pathogenesis : This species is mark-
edly pathogenic for both cats and dogs.
Its effects on the dog, cat and fox were
studied by Lee (1934). Puppies and kittens
are most seriously affected, while adults
are usually carriers, having developed an
immunity following earlier infection.
The first signs usually begin 4 to 6
days after infection. Their severity de-
pends on the degree of infection. In
severe cases, catarrhal or bloody diar-
rhea, rapid emaciation and anemia occur.
Affected animals are weak, depressed and
lose their appetite. There may be a rise
in temperature or muscular tremors of
the hind legs. If the animal survives the
acute phase, the dysentery is replaced by
mucous stools for 2 to 4 days and the
other signs subside, disappearing 7 to 10
days after their onset. Recovered animals
may continue to shed oocysts for a time.
from those of /. bigemina, and a number
of investigators believe that they are the
same species (Elsdon-Dew and Freedman,
1953; Routh, McCroan and Hames, 1955;
Becker, 1956). Cross-transmission ex-
periments are needed to determine whether
they are.
ISOSPORA FEUS
WENYON, 1923
Synonyms : Isospora call, Coccidium
bigeniinuni var. cati, Lucetina cati,
Lucetina fells.
Hosts : Dog, cat, lion and possibly
other carnivores.
Location : Small intestine, some-
times cecum, occasionally colon.
Geographic Distribution : Worldwide.
Prevalence : This species in common
in dogs and cats. Gassner (1940) found it
in 6% of 320 dogs in Colorado. Catcott
(1946) found it in 3. 5% of 113 dogs in Ohio.
Choquette and Gelinas (1950) found it in 9%
of 155 dogs in Montreal. Hitchcock (1953)
found it in 75% of 147 kittens in Michigan.
Alves da Cruz, de Sousa and Cabral (1952)
found it in 10% of 40 stray cats in Lisbon,
Portugal.
In severe cases, hemorrhagic enter-
itis is present thruout the small intestine;
it is most severe in the lower ileum and
becomes progressively less so anteriorly.
Petechiae are present in light infections,
and diffuse hemorrhages in more severe
ones. There may be ulcers in addition.
The mucosa is thickened, and there may
be extensive desquamation. A circulating
eosinophilia may be present, and the para-
sitized region is infiltrated with eosino-
philes.
Cross-Transmission : Lee (1934)
transmitted /. bigemina from the dog to
the cat and fox, but failed to infect rabbits
or guinea pigs with it.
Remarks : The oocysts of /. honiinis
of man are apparently indistinguishable
Morphology : The oocysts are ovoid,
32 to 53 by 26 to 43 ji with a mean of 43
by 33 jj. . The oocyst wall is smooth and
colorless, without a micropyle. An oocyst
polar granule and residuum are absent.
The sporocysts are ellipsoidal, 20 to 27
by 18 to 21 /i. A sporocyst residuum is
present. The sporozoites are 10 to 15;^
long. The sporulation time is 3 days or
less.
Life Cycle : The life cycle of /. fells
in experimentally infected kittens was des-
cribed in detail by Hitchcock (1955) and
Lickfeld (1959). It is similar in dogs.
The parasites are found above or beside
the host cell nuclei of the epithelial cells
of the villi and sometimes in the subepi-
thelial tissues. There are 2 asexual gen-
erations. The first generation schizonts
THE TELOSPORASIDA AND THE COCCIDIA PROPER
239
are found in the small intestine and cecum
from the second to fourth day after experi-
mental infection. They are ellipsoidal
and about 20 j^ long. They produce 40 to
60 merozoites according to Hitchcock, or
12 or less according to Lickfeld. These
merozoites are relatively large, measur-
ing 16 to 18.5 by 5 to 8 ju.
The second generation schizonts are
found on the 5th and 6th days after infec-
tion in the small intestine and less com-
monly in the large intestine. According
to Hitchcock, they produce up to 24 mero-
zoites, but most contain 12 to 16; accord-
ing to Lickfeld there are 30 to more than
100 of these merozoites, and they measure
7. 5 by 2. 5jLt.
The sexual stages are found on the
7th and 8th days after infection. They
occur in the small intestine and less com-
monly in the cecum. According to Hitch-
cock (1955), the macrogametes average
25 to 22 /J,, but other workers have re-
corded dimensions up to 56 by 48/j, . The
microgametocytes average 28 by 19jll
according to Hitchcock, but other workers
have recorded dimensions up to 50 by 30 ji ,
and Lickfeld said that they are 73 jj, in
diameter in life. Well over 2000 spindle-
shaped, curved, biflagellate microgametes
are formed in each microgametocyte. The
oocyst wall is laid down following fertiliza-
tion while the zygotes are still within the
host cells. The young oocysts then break
out and are passed in the feces. The pre-
patent period was found by Hitchcock
(1955) to be 7 to 8 days.
According to Walton (1959), the hap-
loid number of chromosomes in /. felis
is 2. Lickfeld (1959) described a cryp-
tomitotic type of schizogony, but saw no
chromosomes.
Pathogenesis : This species is
slightly to moderately pathogenic, depend-
ing on the host species, age, degree of
infection, etc. It is less serious in cats
than in dogs. None of 18 four- to nine-
week-old kittens infected by Hitchcock
(1955) with 100,000 sporulated oocysts
showed signs of disease. Andrews (1926),
however, observed enteritis, emaciation,
weakness, depression, dysentery and even
death in kittens and dogs experimentally
infected with I. felis. Hitchcock thought
that these signs and deaths in the kittens
might well have been due to feline dis-
temper.
The gross pathologic lesions are
similar to those caused by /. bigemina.
There is hemorrhagic enteritis, frequently
with ulceration, thickened mucosa and
epithelial desquamation.
Immunity : Animals which have re-
covered from I. felis infections are re-
sistant to reinfection.
Cross Transmission : Lee (1934) in-
fected dogs with /. felis from the cat, and
a fox with /. felis from the dog.
ISOSPORA RIVOLTA
(GRASSl, 1879)
Synonyms : Coccidiuni rivolta,
Lucetina rivoltai.
Hosts : Dog, cat, dingo, and prob-
ably other wild carjiivores.
Location: Small intestine.
Geographic Distribution : Worldwide.
Prevalence : This species is common
in dogs and cats. Gassner (1940) found it
in 20% of 320 dogs in Colorado. Catcott
(1946) found it in 4% of 113 dogs in Ohio.
Ehrenford (1953) found it in 72% of 377
dogs from Indiana and nearby states.
Choquette and Gelinas (1950) found it in
13. 5% of 155 dogs in Montreal. Hitchcock
(1953) found it in 13% of 147 kittens in
Michigan.
Morphology : The oocysts are ovoid,
20 to 25 by 15 to 20 fi. The oocyst wall is
smooth, with a micropyle at the small
end. An oocyst polar granule and residuum
are absent. The sporocysts are 16 by 10 \i.
A sporocyst residuum is present. The
sporulation time is 4 days.
240
THE TELOSPORASIDA AND THE CCXTCmiA PROPER
Life Cycle : The endogenous stages
of /. rivolla are poorly known. They are
said to resemble those of /. Jelis but to
be smaller. They are found in the epithe-
lial cells and sometimes in the subepithe-
lial tissues of the small intestine. Oocyst
development ordinarily takes place out-
side the body, but occasionally occurs in
the subepithelial tissues.
Pathogenesis : Altho experimental
studied on /. rivolla alone have apparently
not been carried out, it is presumably as
pathogenic as /. bigeiniiia and /. Jelis.
Cross Transmission: Lee (1934) in-
fected a fox with /. rivolla from the dog.
Fig. 31.
B
Sporulated oocysts of coccidia of
dog and cat. A. Isospora blgem-
iiia. B. Isospura rivulla.
C. Isospoya felis. X 850. (From
Becker, 1934, after Wenyoii, 1926,
Protozoology)
COCCIDIOSIS IN DOGS AND CATS
Epidemiology : Coccidiosis is com-
mon in dogs and cats, and is a not infre-
quent cause of diarrhea and even death
in puppies and kittens. Crowding and
lack of sanitation promote its spread.
Coccidia sometimes seed a breeding ken-
nel, boarding kennel or veterinarian's
wards so heavily that most of the puppies
born or brought there become infected.
Diagnosis : Coccidiosis can be diag-
nosed at necropsy by finding coccidia in
the intestinal lesions. It can be diagnosed
in affected animals by finding oocysts in
association with diarrhea or dysentery.
However, care must be taken to differen-
tiate coccidiosis from coccidiasis, since
many animals may be shedding oocysts
without suffering from disease. Other
disease agents should be searched for and
found absent. The presence of a wave of
oocysts during and shortly after an attack
of enteritis and their marked diminution or
disappearance soon thereafter would sug-
gest that coccidia caused the attack.
The oocysts of Isospora bigemina are
usually sporulated when they are passed
in the feces. They are often ruptured,
releasing the sporocysts. These are very
small, and will often be overlooked unless
the high dry power of the microscope is
used in making a fecal examination. In
addition, they resemble Cryptospuridium
oocysts and might be mistaken for them.
Treatment : There is no good treat-
ment for coccidiosis in dogs and cats once
the signs of disease have appeared. All
the coccidiostatic agents on the market
are preventive rather than curative in
action. The fact that coccidiosis is a
self-limiting disease has often led to the
belief that some ineffective drug, admin-
istered at the time natural recovery was
due to begin, was responsible for the
cure. Uncontrolled studies on coccidiosis
therapy, such as that of Duberman (1960)
with nitrofurazone, are worse than use-
less, since they may lead to false con-
clusions regarding a drug's value.
Craige (1949), a clinician with con-
siderable experience in handling canine
coccidiosis, considered treatment in an
unsatisfactory state. Sometimes the
animals would respond to sulfonamides,
but he had better success by combining a
sulfonamide with quinacrine, sulfocar-
bolates, tannin-yeast, iodine preparations,
etc. McGee (1950) used sulfamethazine.
Altman (1951) used chlortetracycline.
Supportive treatments such as these, and
particularly the use of antibiotics such as
chlortetracycline and oxytetracycline to
control secondary infections, may be
helpful even tho they do not act on the
coccidia themselves.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
241
Prevention : Sanitation and isolation
are effective in preventing coccidiosis.
Animal quarters should be cleaned daily.
Runways should be concrete. Ordinary
disinfectants are ineffective against coc-
cidian oocysts, but boiling water, if it is
still boiling when it reaches the oocysts,
will kill them.
ISOSPORA BELLI
WENYON, 1923
Host : Man.
Location : Presumably small intes-
tine. Elsdon-Dew, Roach and Freedman
(1953) found oocysts in material from a
duodenal intubation.
Geographic Distribution : Presumably
worldwide, but more common in the trop-
ics than in the temperate zone.
Prevalence : This species is quite
rare in man. However, Elsdon-Dew and
Freedman (1953) found it in 32 persons in
Natal, and considered that it was often
missed because it was not looked for.
Pathogenesis : Most infections with
/. belli appear to be subclinical and self-
limiting. However, it may cause a mu-
cous diarrhea. In 31 of the 33 cases of
Isospora infection studied by Barksdale
and Routh (1948), anorexia, nausea, ab-
dominal pain and diarrhea were present.
Matsubayashi and Nozawa (1948) reported
that symptoms appeared 1 week after ex-
perimental infection of 2 human volunteers,
presumably with /. belli, and that oocysts
appeared in the feces 10 days after infec-
tion and persisted for a month.
Cross-Transmission Studies : Jeffery
(1956) failed to transmit /. belli from man
to 2 monkeys, 2 dogs, 2 pigs, 12 mice, 4
rats, a guinea pig and a rabbit. Robin and
Fondimare (1960) were unable to transmit
it from man to the guinea pig, rabbit,
mouse or rat.
ISOSPORA HOMINIS
(RAILLIET AND LUCET, 1891)
WENYON, 1923
Synonyms : Coccidiiun bigeminum
var. hominis, Lucetina hominis.
Morphology : This species has often
been confused with /. hominis (see Elsdon-
Dew and Freedman, 1953), but is clearly
different. The oocysts are elongate el-
lipsoidal, 20 to 33 by 10 to 19 fi (mean,
30 by 12 fi according to Elsdon-Dew and
Freedman, 1953). One or both ends of
the oocyst may be somewhat narrow. The
oocyst wall is smooth, thin, and colorless.
A very small micropyle is sometimes
visible. An oocyst polar granule may be
present in young, incompletely sporulated
oocysts, but quickly disappears. An
oocyst residuum is absent. The sporo-
cysts are subspherical to ellipsoidal, with-
out a Stieda body, 12 to 14 by 7 to 9 fi
(mean 11 by 9fi according to Elsdon-Dew
and Freedman, 1953). A sporocyst resi-
duum is present. The sporozoites are
slender, somewhat crescent-shaped, with
the nucleus at one end. Both immature
and mature oocysts may be passed in the
feces. The sporulation time is up to 5
days.
Life Cycle : Unknown.
Host: Man.
Location: Small intestine.
Geographic Distribution : Worldwide,
but more common in the tropics than in
the temperate zone.
Prevalen ce:
rare in man.
Freedman
Natal, and thought that it was often missed
because people did not look for it.
This species is quite
However, Elsdon-Dew and
(1953) found it in 23 persons in
Morphology : The oocysts are spor-
ulated when passed. The oocyst wall is
very thin, stretched around the sporocysts
and usually constricted between them, and
sometimes not visible. It is often rup-
tured, releasing the sporocysts. The
oocysts are about 20 by 15|j.. Micropyle,
oocyst polar granule and residuum are
absent. The sporocysts are ellipsoidal or
with one side flattened, about 15 by 10 /i,
without a Stieda body. A sporocyst resi-
duum is present.
242
THi; TELOSPORASIDA AND THE COCCIDLA PROPER
Life Cycle : Unknown.
Pathogenesis : Most infections ap-
pear to be subclinical and self-limiting.
However, /. Iiominis may cause a mucous
diarrhea. In 31 of 33 cases of Isuspora
infection studied by Barksdale and Routh
(1948), anorexia, nausea, abdominal pain
and diarrhea were present.
Remarks : This species resembles
/. bigetiiina very closely, and it may well
be the same species (see Becker, 1956,
Elsdon-Dew and Freedman, 1953; Routh,
McCroan and Hames, 1955). Elsdon-Dew
(1954) failed to infect a dog with /. hominis
from man, but the animal was an adult and
could have been immune.
ISOSPORA NATALENSIS
ELSDON-DEW, 1953
Host : Man.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Africa
(Natal).
Prevalence : Elsdon-Dew (1953)
found this species in 2 persons in Natal.
Morphology : The oocysts are sub-
spherical, 25 to 30 by 21 to 24^.. The
oocyst wall is smooth and thin, without a
micropyle. An oocyst polar granule and
oocyst residuum are absent. The sporo-
cysts are ellipsoidal, 17 by 12 /i, without
a Stieda body. A sporocyst residuum is
present. The sporulation time is 1 day.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : When Elsdon-Dew and
Freedman (1953) first saw this form,
they thought that it was /. rivolla. How-
ever, it differs morphologically from that
species.
COCCIDIOSIS IN MAN
Coccidiosis is quite rare in man, and
the relation of the species described from
man to those in lower animals is still not
clear. Isospora belli appears to be con-
fined to man, and /. nataletisis may be
also. However, further research may
show that /. lioniinis is a synonym of /.
bige))iina and that man acquires his infec-
tions with this parasite from dogs and
cats.
In addition to the above species which
produce infections in man, a number of
other coccidia have been found in human
feces and mistaken for parasites of man.
Perhaps the most famous of these were
Eimeria wenyoni, E. oxyspora and E.
snijdersi. which Dobell (1919) described
as human parasites. The first turned out
to be E. clupearum, a coccidium of her-
ring, sprats and mackerel, and the second
two were both E. sardinae, a parasite of
sardines, herring and sprats. In addition,
oocysts of E. stiedae of the rabbit have
been found in a mental hospital patient who
liked to eat raw rabbit livers, and oocysts
of E. debliecki of the pig were found by
Drug (1946) in several others who probably
acquired them in sausage casings.
ISOSPORA GALLINAE
SCHOLTYSECK, 1954
Host: Chicken.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : Europe.
Prevalence : Unknown, presumably
rare.
Morphology : The oocysts are ellip-
soidal, 19 to 27 by 15 to 23)ll with a mode
of 24 by 19 fi. A micropyle is absent.
Oocyst polar granules are present. An
oocyst residuum is absent. The sporo-
cysts are piriform.
THE TELOSPORASIDA AND THE COCCIDIA PROPER
243
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : The validity of this spe-
cies is dubious. It is more likely a para-
site of some wild bird, such as /. lacazei
of the English sparrow.
ISOSPORA HEISSINI
SVANBAEV, 1955
Host : Domestic turkey.
Location : Unknown. Oocysts found
in feces.
Geographic Distribution : USSR (Ka-
zakhstan).
Morphology : The oocysts are spher-
ical or rarely broadly ovoid, 25 to 33/1 in
diameter, with a mean of 31 by 30 fx. The
oocyst wall is greenish, smooth, double
contoured (illustrated with a single layer),
and 1.5 to 1.7|i thick. A micropyle is
apparently absent. An oocyst polar gran-
ule is present. An oocyst residuum is
absent. The sporocysts are spherical or
ovoid and pointed at one end, 15 by 10 jn.
A sporocyst residuum is absent. The
sporozoites are oval, 7 to 9 by 4 to 5 /i .
The sporulation time is 16 to 20 hours at
20 to 25° C.
Life Cycle : Unknown.
Pathogenesis : Unknown.
Remarks : Svanbaev (1955) found this
species only in turkeys up to 4 months of
age.
Genus WENYONELLA Hoare, 1933
In this genus the oocyst contains 4
sporocysts, each of which contains 4
sporozoites.
WENYONELLA GALLINAE
RAY, 1945
Host: Chicken.
Location : Terminal part of intestine.
Geographic Distribution : India.
Prevalence : Uncommon. Gill (1954)
found this species in 1.7% of 120 chickens
near Mukteswar.
Morphology : The oocysts are ovoid,
rough, punctate, 29 to 34 by 20 to 23 ^i.
The sporocysts are flask-shaped, 19 by
8jj,. No other morphological information
was given. The sporulation time is 28° C
is 4 to 6 days.
Life Cycle : Unknown.
Pathogenesis : According to Ray
(1945), this species causes a diarrhea
with blackish-green, semisolid excreta.
The terminal part of the intestine is thick-
ened and congested, and there are pinpoint
hemorrhages in the mucosa.
Genus TYZZERIA Allen, 1936
In this genus the oocyst contains 8
naked sporozoites and no sporocysts.
TYZZERIA PERNICIOSA
ALLEN, 1936
Host: Domestic Pekin duck.
Location : Thruout the small intes-
tine, but especially in the upper half.
Geographic Distribution : North
America.
Prevalence : Uncommon. This spe-
cies has been reported from domestic
ducks only by Allen (1936) on Long Island.
However, its relationship to T. alleni,
which Chakravarty and Basu (1946) des-
cribed from the cotton teal {Cheniscus
coromandelianus) in India, to Tyzzeria sp.
which Farr (1952) reported from the black
duck {Anas rubripes), to T. anseris re-
ported by Farr (1959) from the lesser
scaup duck {Nyroca affinis) in Michigan,
and to T. anseris from domestic and wild
geese and the whistling swan (see Hanson,
Levine and Ivens, 1957) remains to be de-
termined.
244
THE TELOSPORASIDA AND THE COCCIDIA PROPER
Morphology : The oocysts are ellip-
soidal, 10 to 13 by 9 to 11 (i. The oocyst
wall is thick, colorless, composed of an
outer thin, transparent layer and an inner
thicker layer. A micropyle is absent.
The sporozoites are curved, with one end
rounder and broader than the other, about
10 fi long and 3. 5fx wide at the larger
end. The oocyst residuum is large,
usually spherical. The sporulation time
is 1 day.
Life Cycle : According to Allen
(1936), the endogenous stages are found
in the mucosal and submucosal cells.
There are at least 3 asexual generations.
The first generation schizonts are rela-
tively small, about 12 by Sfi, and contain
relatively few, small merozoites. The
later schizonts measure about 15 to 16 by
14 to 15ji and contain more and larger
merozoites than the first generation ones.
Schizogony continues long after the forma-
tion of gametes.
The first microgametocytes appear
2 days after infection. They measure
about 7. 5 by 6jn and produce a large num-
ber of tiny microgametes. The macro-
gametes are somewhat irregular in shape.
Oocysts first appear in the feces 6 days
after infection.
Pathogenesis : According to Allen
(1936), T. peniiciosa is highly pathogenic
for ducklings. All of 7 experimentally
infected, week-old ducklings died.
Affected birds stop eating, lose
weight, become weak and cry continuously
as if in distress. At necropsy, inflamma-
tion and hemorrhagic areas were found
thruout the small intestine and especially
in its upper half. The intestinal wall was
thickened, and round, white spots were
visible thru its serosal surface. In se-
vere cases the lumen was filled with blood
and often contained a cheesy exudate. The
intestinal epithelium sloughed off in long
pieces, sometimes forming a tube which
could easily be lifted out.
TYZZERIA ANSERIS
NIESCHULZ, 1947
Hosts : Domestic goose, white-
fronted goose {Anser albifrons), blue or
snow goose (A. caerulescens), Ross's
goose (A. rossi), Canada goose {Bfanla
ca)iadensis), Atlantic brant (B. bernicla
hrola), whistling swan (Olor colunibianus),
lesser scaup duck {Nyroca affinis).
Location : Small intestine.
Geographic Distribution : North
America, Europe.
Prevalence : This species is appar-
ently rare in domestic geese, having been
reported in them only by Nieschulz (1947)
in Holland and by Farr and Wehr (1952) in
Maryland. It is common, however, in
wild geese, and has been found in all the
species from which coccidia have been re-
ported and from all 6 North American fly-
ways (Hanson, Levine and Ivens, 1957).
It is most likely a parasite of wild geese
which occasionally occurs in domestic
ones as the result of accidental contam-
ination.
Morphology : The oocysts were des-
cribed by Levine (1952). They are ellip-
soidal, 10 to 16 by 9 to 12jLL with a mean
of about 13 by l\ [i . The oocyst wall is
smooth, colorless, about 0.6(i thick, and
usually appears to be composed of a sin-
gle layer altho in some oocysts a second
inner line is visible; this may perhaps be
a membrane which has pulled away from
the wall. A micropyle is absent. The
sporozoites are banana-shaped. The
oocyst residuum is large, irregular, gran-
ular, and often surrounded by the sporo-
zoites.
Life Cycle : Unknown.
Pathogenesis : Unknown in very
young birds; negligible in adults.
COCCIDiOSIS IN DUCKS AND GEESE
Our knowledge of the coccidia of
ducks and geese is extremely deficient.
Except for renal coccidiosis of the goose
caused by E. Irmicata, coccidiosis ap-
pears to be of little importance in these
birds, and coccidia have seldom been re-
ported from them. A few outbreaks of
intestinal coccidiosis have been reported,
THE TELOSPORASIDA AND THE COCCIDIA PROPER
245
however, Jansen (1931), for example-,
described one in Holland in which more
than 10% of a flock of 700 ducks died in 2
days.
Treatment : Little is known of the
treatment of coccidiosis of ducks and
geese. McGregor (1952) reported that E.
truiicata infections of geese seemed to
respond to sodium sulfamethazine, and
the urinary excretion of sulfonamides in
general would suggest that they should be
particularly effective against this species.
Prevention and Control : The same
measures should be used for the preven-
tion and control of coccidiosis in ducks
and geese as in chickens.
FAMILY CRYPTOSPORIDIIDAE
Members of this family are mono-
xenous. Development takes place on the
surface of the host cells or within their
striated border, and not in the cells
proper. The oocysts and schizonts have
a knob-like attachment organ at some
point on their surface. The oocysts con-
tain no sporocysts. The microgametes
have no flagella. There is a single genus,
Cryptosporidium .
Genus CRYPTOSPOMDIUM
Tyzzer, 1907
In this genus the oocyst contains 4
naked sporozoites.
CRYPTOSPORIDIUM TYZZERI
NOM. NOV.
Synonyms : Cryptosporidium parvum
Tyzzer, 1912 pro parte.
Host : Chicken.
Location : All stages occur in the
striated border (cuticular layer) of the
surface epithelial cells of the tubular
part of the ceca.
Geographic Distribution :
America (Massachusetts).
North
Prevalence : Rare.
Morpholo gy: Tyzzer (1929) did not
describe this form in detail, but illustrated
it and said that it appeared morphologically
identical with C. parriim of the mouse.
The following description is based primar-
ily on that given by Tyzzer (1912) for C.
parviim. The oocyst is ovoid or spherical,
4 to 5 by 3|i . The oocyst wall is smooth,
composed of a single layer, with a small,
knob-like attachment organ. A micropyle
is absent. An oocyst residuum is present.
The sporozoites are slender, bow- or
boomerang-shaped, 5. 5 to 6/1 long, with
a rod-shaped, slender nucleus near the
anterior end.
Life Cycle : The following description
is based primarily on that given by Tyzzer
(1912) for C. parvum, which is morpho-
logically identical with C. tyzzeri. The
schizonts are 3 to 5|i in diameter when
mature and have an attachment organ.
They are attached to the cell surface or
embedded in its striated border. They
form 8 falciform merozoites 2. 5 to 5 by
0. 5 to 0. 7 /i , with a nucleus near the
thicker end, and a small residual mass.
The microgametocytes are smaller than
the schizonts and also have an attachment
organ. They give rise to 16 tiny micro-
gametes and a spherical mass of residual
material. The microgametes are chroma-
tin rods about 1 ii long and not more than
0.4jj, wide, without visible flagella. The
macrogametes are larger than the schi-
zonts and microgametocytes, and contain
tiny, retractile granules. They have a
thin, dense limiting membrane and an
attachment organ.
Pathogenesis : Apparently non-path-
ogenic.
Remarks : Tyzzer (1929) thought that
this was the same species he had pre-
viously found in mice, but he attempted
no cross-infection experiments. He said
that even if such experiments failed, the
morphological agreement was such that the
chicken and mouse forms could only be re-
garded as biological varieties of the same
species. However, such a narrow species
concept is no longer held, and it seems
246
THE TELOSPORASIDA AND THE COCCIDIA PROPER
best to draw attention to the chicken form
by giving it a name of its own. Conse-
quently it is named Cryptosporidium
tyzzeri.
In this connection, too, it might be
mentioned that Tyzzer (1910) was unable
to infect the laboratory rat with the
closely related C. niuris from the labor-
atory mouse.
CRYPTOSPORIDIUM MELEAGRIDIS
SLAVIN, 1955
Pathogenesis : According to Slavin
(1955), C. »ieleagridis may cause illness
with diarrhea and a low death rate in 10-
to 14 -day-old turkey poults.
CRYPTOSPORIDIUM SP.
Tyzzer (1929) remarked in passing
that he had found a Cryptosporidium
morphologically similar to C. parviim in
the rabbit's intestine, but did not discuss
it further. No one else appears to have
recognized this form.
Host : Domestic turkey.
Location : All stages occur on the
villus epithelium of the terminal third of
the small intestine.
Geographic Distribution : Scotland.
Prevalence : Unknown; found in 1
flock.
Morphology : This species was des-
cribed by Slavin (1955). The oocysts are
oval, 4. 5 by 4. |i , with very foamy cyto-
plasm and an eccentric, faint, poorly de-
fined wisp of nucleus. No sporulated
oocysts were seen.
Life Cycle : The young schizonts
(trophozoites) are attached to the epithe-
lium of the villi, often in enormous num-
bers. They have an attachment organ
which penetrates the striated border of
the epithelial cells. Slavin also saw
these forms in the goblet cells, between
cells as far down as the basement mem-
brane, and in surface depressions between
the epithelial cells. The mature schizonts
measure 5 by 4^ and contain 8 merozoites.
These are falciform, 5 by 1 ^i. , and taper
toward the ends, with one end blunter than
the other. The nucleus is subterminal.
The microgametocytes are rounded
or oval, 4 fi in their greatest diameter,
and contain 16 intensely staining rod-like
microgametes. These measure 1 by 0.3 n
and have no flagella. The macrogametes
are roughly oval, 4. 5 to 5. by 3. 5 to
4.0ji.
FAMILY AGGREGATIDAE
Members of this family are hetero-
xenous, with two hosts. Schizogony takes
place in one and sporogony in the other.
Development takes olace in the host cell
proper. The oocysts typically contain
many sporocysts. With one dubious ex-
ception, the Aggregatidae are parasites of
marine annelids, molluscs and Crustacea.
Genus MiROCYSTlS Dalcin, 1911
In this genus the oocysts contain num-
erous sporocysts, each with 2 sporozoites.
A single species, M. kathae, has been
named. It occurs in the kidney of the
whelk, Buccinuni undatiim.
In addition, Paichuk (1953) described
oocysts in the feces of several pigs in
Kazakhstan which he called Merocystis
sp. The oocysts are short-oval, almost
spherical, 34 to 43 by 30 to 37 ^t with a
mean of 38.7 by 33. Ojix. The oocyst wall
is smooth, 2y. thick, composed of 3 layers
of which the outer is dark brown, the mid-
dle bright green and the inner yellow-green
or bright brown. The oocyst wall is very
fragile. The number of sporocysts is un-
known, but more than 13. The sporocysts
are spherical, 9 to 13 /i in diameter with
a mean of 9. 1 jj, . The presence of an
oocyst polar granule is unknown. The
oocyst and sporocyst residua are com-
posed of dispersed granules. The sporo-
zoites are spherical, 4.3/i in diameter.
Altho Paichuk assigned this form to the
THE TELOSPORASIDA AND THE COCCIDIA PROPER
247
genus Merocystis, it is much more prob-
ably Adelea or Adelina, both of which
occur in arthropods, and it may well be a
parasite of some arthropod which the
pigs had eaten.
FAMILY LANKESTERELLIDAE
Members of this family are hetero-
xenous, with 2 hosts. Schizogony, game-
togony and sporogony all take place in a
vertebrate host. The sporozoites enter
the blood cells and are taken up by a
blood-sucking invertebrate (a mite or
leech). They do not develop in this host,
but are transferred to the vertebrate host
when the latter eats the invertebrate, or
possibly by injection. In the vertebrate
host, development takes place in the host
cells proper. The oocysts contain no
sporocysts, but have 8 or more sporo-
zoites, the number depending on the genus.
The microgametes have 2 flagella so far
as is known. There are 2 genera in this
family: Lankesterella, which occurs in
birds and amphibia, and Schellackia,
which occurs in reptiles.
Genus LANKESTERELLA Labbe, 1899
In this genus the oocysts contain 32
or more naked sporozoites. The vectors
are leeches or mites.
The type species, and the only one
known for a long time, is L. minima,
a parasite of the frog. However, Lainson
(1959) recently showed that the genus
Atoxoplasma Garnham, 1950 is a synonym
of Lankesterella, enlarging the genus con-
siderably and clearing up a question which
has puzzled parasitologists for years.
The parasites now known to be sporo-
zoites of Lankesterella are found fre-
quently in the lymphocytes and other blood
cells of wild birds. They had been thought
to be Haemogregarina or Toxoplasma, but
Garnham (1950) showed that they were
definitely not the latter and therefore
called them Atoxoplasma.
The names and accepted species of
the genus are still in a highly confused
state (Laird, 1959; Lainson, 1959).
Lankesterella adiei (Aragao, 1933)
Lainson, 1959 (syns. , L. passeris Raf-
faele, 1938; L. garnham i Lainson, 1959)
is a common parasite of the English
sparrow thruout the world. Lainson
(1959) found it in all of 99 adult and 150
fledgling English sparrows in England,
Manwell (1941) and Manwell et al. (1945)
reported that it was common in passerine
birds, and D. D. Myers (unpublished)
found it commonly in English sparrows in
Illinois. The sporozoites occur in the
lymphocytes and monocj^es, and often
cause a pronounced indentation of the host
cell nucleus. They are typically sausage-
shaped with rounded ends, stain weakly
and lack a well defined periplast, so that
it is often difficult to differentiate their
cytoplasm from that of the host cell.
Their nucleus is diffuse and granular,
with a tiny karyosome. They measure 4
to 5 by 2 to 4 fi according to Lainson (1959).
The life cycle of L. adiei was des-
cribed (under the name L. garnliami) by
Lainson (1959). Schizogony takes place
in the lymphoid-macrophage cells of the
spleen, bone marrow and liver. There
are 2 types of schizont, one producing 10
to 30 (average 16) oval merozoites meas-
uring 4 by 2 (i , and the other producing a
smaller number of larger merozoites
measuring 6 by 3. 5|ll. Gametogony and
sporogony take place in the lymphoid-
macrophage cells of the liver, lungs and
kidney. The microgametocytes resemble
those of Eimeria and produce 60 to 100
microgametes. The macrogametes are
about 14. 5 /J, in diameter when mature and
produce a large but unspecified number of
sporozoites measuring about 3.6 by 1.8)i.
The vector is presumably the common red
mite, Dermanyssus gallinae, but Lainson
was unable to prove this because he had
no uninfected receptor birds.
According to Lainson (1958), Lanke-
sterella may cause congestion and hemor-
rhage of the blood vessels and inflamma-
248
THE TELOSPORASHDA AND THE COCCIDLA PROPER
tory foci in the liver and lungs of infected
English sparrows. Manwell (1941) stated
that infections seemed to spread rapidly
among adult English sparrows from New
York after they had been captured and
kept in relatively close quarters in the
laboratory. He found that the disease was
not infrequently fatal, but that chronic
cases also occurred. The liver and spleen
were greatly enlarged and very dark in one
bird which he necropsied, but there were
no hematin granules in either organ.
D. D. Myers (unpublished) also observed
deaths from this infection in captured
English sparrows in Illinois.
Lankesterella serini Lainson, 1959
was discovered in canaries when Lainson
wanted to infect them with L. adici from
the English sparrow and found that they
already had an infection of their own. It
apparently resembles L. acUci. Nothing
is known about its pathogenicity. Perhaps
the "x-bodies" or "Einschliisse" which
occur in the macrophages of the lungs,
liver and spleen of canaries (Manwell
eL al. , 1945) belong to this species.
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THE TELOSPORASIDA AND THE COCCIDIA PROPER
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Chapter 9
These genera belong to the suborder
Adeleorina, which is differentiated from
the Eimeriorina and Haemospororina by
the fact that the macrogamete and micro-
gametocyte are associated in syzygy
(i.e. , they lie up against each other) dur-
ing development. Correlated with this is
the fact that the microgametocytes pro-
duce very few microgametes. The zygote
may or may not be motile, and the sporo-
zoites are enclosed in an envelope.
The great majority of the Adeleorina
are parasites of lower vertebrates and in-
vertebrates, but a few occur in domestic
and laboratory animals.
KLOSSIBUA
Am
HEPATOZOOU
FAMILY KLOSSIELLIDAE
In this family, the zygote is not mo-
tile. A typical oocyst is not formed, but
a number of sporocysts each containing
many sporozoites develop within a mem-
brane which is perhaps laid down by the
host cell. Each microgametocyte forms
2 to 4 non-flagellated microgametes. The
life cycle involves a single host, game-
togony and schizogony occurring in differ-
ent locations. There is a single genus,
Klossiella.
Genus Ki.OSS\mi\ Smith and
Johnson, 190:2
This genus has the characters of the
family.
Infection takes place by ingestion of
sporulated sporocysts, and the sporozoites
pass into the blood stream and enter the
endothelial cells of the capillaries and
arterioles of the kidneys, lungs, spleen
and other organs. Here they turn into
schizonts, and these then produce mero-
zoites. There are probably several
asexual generations.
Eventually some merozoites enter the
epithelial cells of the convoluted tubules
- 254
KLOSSIELLA AND HEPATOZOON
255
of the kidney, where they become gamonts
and where gametogony and sporogony take
place. A macrogamete and microgameto-
cyte are found together in syzygy within a
vacuole in the host cell. The microgame-
tocyte divides to form 2 to 4 microgam-
etes, one of which fertilizes the macro-
gamete. The resultant zygote (sporont or
mother sporoblast) divides by multiple
fission to form a number of sporoblasts.
Each of these develops into a sporocyst
containing 8 to 25 or more sporozoites.
The sporocysts are enclosed within a
membrane, but all authorities do not agree
whether it is a true oocyst or simply the
remnant of the host cell.
The sporocysts are released into the
lumen of the kidney tubules by rupture of
the host cell, and pass out in the urine.
KLOSSIELLA EQUI
BAUMANN, 1946
Synonym: Einieria utinensls (?).
Hosts: Horse, ass.
Location: Kidneys.
Geographic Distribution :
Turkey, North America.
Europe,
Prevalence : Unknown. This species
has been encountered only in the course of
histopathologic examinations of the kidney
for some other reason. Baumann (1946)
found it in the kidney of a horse from
Hungary which had died of pneumonia,
Seibold and Thorson (1955) found it in the
kidney of a jackass in Alabama which had
died of spinal injuries incurred while he
was being roped. Akcay and Urman(1954)
found it on histopathologic examination of
the kidneys of 72 out of 117 donkeys in the
course of an experiment on infectious
anemia.
Morphology : The stages in the kidney
are the only ones known. These are found
in the epithelial cells lining the thick
limbs of Henle's loops in the medullary
rays. Schizonts and merozoites have not
been recognized. The macrogametes and
microgametocytes develop in syzygy. The
latter form 4 microgametes (Baumann,
1946). After fertilization, the zygote
grows to 38 to 46 by 32 to 39 \i and pro-
duces a large number of sporoblasts by
multiple nuclear fission followed by bud-
ding from a large, central residual mass.
Each sporoblast develops into a sporocyst.
The fully developed "oocysts" are thin-
walled sacs 50 to 90 by 35 /i containing as
many as 40 ovoid sporocysts measuring
8 to 10 by 4 to 5 (i . Each sporocyst con-
tains 8 to 12 sporozoites. Seibold and
Thorson (1955) found 40 sporocysts in a
cross section of one of the largest sacs
they saw, so there must have been many
more actually present.
Pathogenesis : Apparently non-patho-
genic.
Remarks : Pachinger (1886) des-
cribed parasites resembling EiDieria fal-
ciformis in the kidneys of 3 horses. These
were almost certainly K. equi. Selan and
Vittorio (1924) described a parasite from
the lungs and gall bladder of a horse in
Italy which they called Eimeria utinensis.
Their description was too poor to be sure
what they actually saw, but it may perhaps
have been a stage of K. equi.
OTHER SPECIES OF KLOSSIELLA
Klossiella muris Smith and Johnson,
1902 is apparently fairly common in lab-
oratory mice thruout the world, but has
been reported only once in wild house
mice. In the laboratory colonies in which
it is found, 20 to 100% of the mice are in-
fected. Each microgametocyte forms 2
microgametes. Each sporont forms 12 to
16 sporocysts, each of which contains
about 25 to 34 banana-shaped sporozoites.
K. muris is ordinarily non-pathogenic,
altho in heavy infections the kidneys may
have minute, greyish, necrotic foci over
their entire surface, and the epithelium
of the infected kidney tubules is destroyed
(Smith and Johnson, 1902). Otto (1957)
described a perivascular, follicular,
lymphocytic infiltration in the region of
the medullary cortex which he considered
of diagnostic significance. There is no
256
KLOSSIELLA AND HEPATOZOON
inflammatory reaction. No fatal infec-
tions have been reported.
Klossiella cobayae Seidelin, 1914
occurs sporadically in the guinea pig
thruout the world. Each microgametocyte
forms 2 microgametes. Each sporont
forms 30 or more sporocysts, each of
which contains about 30 sporozoites. K.
cobayae is apparently non-pathogenic and
produces slight if any pathologic changes
in the kidney. However, it may be en-
countered in sections of the kidney or
other organs which are being examined
for something else, as C. C. Morrill and
I (unpublished) did in some guinea pigs at
the University of Illinois.
FAMILY HEPATOZOIDAE
In this family the zygote is active (an
ookinete), secreting a flexible membrane
which is stretched during development.
The life cycle involves 2 hosts, 1 of which
is vertebrate and the other invertebrate.
The parasites are found in the cells of
the circulatory system of vertebrates and
of the digestive system of invertebrates.
The oocysts are large and contain many
sporocysts, each with 4 to 12 or more
sporozoites. There is a single genus,
Hepatozoon.
Genus HfPATOZOON Miller, 1908
In this genus schizogony takes place
in the viscera of a vertebrate, and the
gametocytes are either in the leucocytes
or erythrocytes, depending on the species.
Fertilization and sporogony occur in a
tick, mite, louse, tsetse fly, mosquito or
other blood-sucking invertebrate, de-
pending again on the species. The micro-
gametocyte forms 2 microgametes. A
synonym of this generic name is Leucocy-
togregarina .
Species of Hepatozoon have been
described from mammals, reptiles and
birds. They ai-e especially common in
rodents.
The vertebrate hosts become infected
by eating the invertebrate hosts. The
sporozoites are released in the intestine,
penetrate its wall and pass via the blood
stream to the liver, lungs, spleen or bone
marrow; different species prefer different
organs. The sporozoites enter the tissue
cells and become schizonts, which divide
by multiple fission to produce a number of
merozoites. There are several asexual
generations in the visceral cells, but their
number is known in only a few cases. The
last generation merozoites enter the blood
cells and become gamonts. These look
alike; presumably the female is a macro-
gamete and the male a microgametocyte,
but no evidence is available on this point.
No further development takes place
until the parasites reach the alimentary
tract of the intermediate host. The ga-
monts then leave their host cells, asso-
ciate in syzygy, and the microgametocyte
forms 2 non-flagellate microgametes.
These are relatively large, but smaller
than macrogametes. One of them ferti-
lizes the macrogamete, and the resultant
ookinete penetrates the intestinal wall and
comes to lie in the haemocoel. Here it
grows considerably and becomes an oocyst.
Several nuclear divisions take place in the
sporont within the oocyst wall. The daugh-
ter nuclei migrate to its periphery, and
each one buds off to form a sporoblast,
leaving a large residual mass. The sporo-
blasts then form a wall around themselves,
becoming sporocysts. Sporozoites develop
in the sporocysts, their number depending
on the species. When the vertebrate host
ingests the invertebrate one, the oocysts
and sporocysts rupture in its intestine,
releasing the sporozoites.
It is possible that trans-placental in-
fection may also occur, at least in some
species. At any rate, Clark (1958) found
a full-blown infection with H. i^riseisciuri
in a 36-hour-oId grey squirrel which had
been born in a mite-free environment.
HEPATOZOON CAMS
(JAMES, 1905)
Synonyms : Leucocylozoon cauls,
Hac'Diogyegarina caiiis, Haeniogregarina
yolundata, HacDiogregariiia chatloiii,
Hepatozoon felis .
KLOSSIELLA AND HEPATOZOON
2S7
Disease: Hepatozoonosis.
Hosts : Dog, cat, jackal, hyena and
palm civet or musang {Payadoxurns
herniaphroditns). The forms described
from the cat, jackal and hyena under the
names H. felis, H. rotitndata and H.
cliai/oni. respectively, are practically
indistinguishable morphologically, and
are probably all the same species. Laird
(1959) believed that the form he found in
the palm civet in Malaya was H. caiiis.
Location: The schizonts are in the
spleen, bone marrow and to a lesser ex-
tent in the liver. The gamonts are in the
polymorphonuclear leucocytes.
Geographic Distribution : India,
Malaya, Singapore, Indochina, Central
Africa, North Africa, Middle East, Italy.
This species is well known in dogs, but
has been reported from cats only by
Patton (1908) in Madras (Laird, 1959).
Morphology: The gamonts in the
leucocytes are elongate rectangular bodies
with rounded ends measuring about 8 to 12
by 3 to 6|_L, and with a central, compact
nucleus. Their cytoplasm stains pale blue
and their nucleus dark reddish with
Giemsa stain. They are surrounded by a
delicate capsule. They may emerge from
the leucocytes and capsule and lie free in
citrated blood. Leitao (1945) saw schi-
zonts in the circulating blood which he
said were difficult to distinguish from
platelets.
Life Cycle : The life cycle of H.
canis was worked out by Christophers
(1906, 1907, 1912) and Wenyon (1911).
Schizogony takes place in the spleen and
bone marrow, and Rau (1925) saw it in the
liver also. There are several types of
schizonts. One type produces a small
number (usually 3) of large merozoites,
another type produces a large number of
small merozoites, and intermediate types
produce merozoites of intermediate num-
bers and size. The small merozoites are
the ones which enter the leucocytes to
form gamonts.
The vector is the brown dog tick,
Rhipiceplialus sanguineus . Both the
nymph and adult can transmit the infection,
but there is no transovarian transmission.
The oocysts are found in the haemocoel.
They are about 100 fi in longest diameter
and contain 30 to 50 sporocysts 15 to 16/1
long, each containing about 16 banana-
shaped sporozoites and a residual body.
Dogs become infected by eating infected
ticks.
Pathogenesis : H. canis has often
been found in apparently healthy dogs, but
it may also cause serious disease and
death (Rau, 1925; Rahimuddin, 1942).
The principal signs are irregular fever,
progressive emaciation, anemia and
splenomegaly. Lumbar paralysis has
also been reported. Affected dogs may
die in 4 to 8 weeks.
Diagnosis : Hepatozoonosis can be
diagnosed by identifying the gamonts in
stained blood smears or in stained smears
of spleen pulp, bone marrow or liver.
Treatment: Unknown.
Prevention and Control : Since//.
canis is transmitted by the brown dog
tick, elimination of ticks will eliminate
the disease.
OTHER SPECIES OF HEPATOZOON
Hepatozoon niuris (Balfour, 1905)
occurs in the wild and laboratory Norway
rat and black rat thruout the world.
Schizogony takes place in the parenchymal
cells of the liver, and the gamonts are
found in the monocytes and rarely in the
polymorphonuclear leucocytes. The vector
is the spiny rat mite, Ecltinolaelaps
echidninus. Massive infections may cause
marked degenerative changes in the liver
and death, but little or no effect has been
observed in lightly infected wild rats.
Hepatozoo)! nnisculi (Porter, 1908)
was reported from the white mouse in
England. It differs from H. niuris in that
schizogony takes place only in the bone
marrow.
Hepatozoon cuniculi (Sangiorgi, 1914)
was reported from the domestic rabbit in
258
KLOSSIELLA AND HEPATOZOON
Italy. Its gamonts are found in the leu-
cocytes and its schizonts in the spleen.
Hepalozoon griseisciuri Clark, 1958
is common in the grey squirrel {Scittrus
carolincnsis) in the United States. Clark
(1958) described its life cycle. Schizogony
takes place in the spleen, liver and bone
marrow, and the gamonts are found in the
monocytes. The natural vector is the
mite, Euhaetnogmnasus ambidans, but
Echinolaelaps echidninus can act as a
vector experimentally.
LITERATURE CITED
Akjay, S. and H. K. Urmon. 1954. Deut. Tierarztl.
Wchnschr. 61:393.
Boumann, R. 1946. Wien. Tierarztl. Monatschr. 33:257- 260.
Chriaophers, S. R. 1906. Sci. Mem. Off. Med. G San.
Dep. Govt. India, N. S. 26:1-16.
Christophers, S. R. 1907. Sci. Mem. Off. Med. G Son.
Dep. Govt. India, N. S. 28:1-11.
Christophers, S. R. 1912. Parasit. 5:37-48.
Clarl<, G. M. 1958. J. Parasit. 44:52-63.
Laird, M. 1959. J. Protozool. 6:316-319.
Leieao, S. 1945. An. Inst. Med. Trop. 2:217-226.
Otto, H. 1957. Frankfurt. Ztschr. Path. 68:41-48.
Pachinger, A. 1886. Zool. Anz. 9:471-472.
Patton, W. S. 1908. In Ann. Rep. Bact. Sec. King Inst.
Protect. Med., Guindy, 1907, Madras, (cited by
Laird, 1959)
Rahimuddin, M. 1942. Ind. Vet. ]. 19:153-154.
Rau, M. A. N. 1925. Vet. ]. 81:293-307.
Seibold, H. R. and R. E. Thorson. 1955. J. Parasit.
41:285-288.
Solan, U. and A. Vittorio. 1924. Clin. Vet. 47:587-592.
Smith, T. and H." P. Johnson. 1902. J. Exp. Med. 6:303- 316.
Wenyon, C. M. 1911. Parasit. 4:273-344.
These genera belong to the suborder
Haemospororina, which is differentiated
from the Eimeriorina and Adeleorina by
the facts that the microgametocyte pro-
duces a moderate number of microgametes
and the sporozoites are naked. The gam-
onts are similar and develop independently.
The zygote is motile (i.e. , it is an ookinete).
All species are heteroxenous; schizogony
takes place in a vertebrate host, and spor-
ogony in an invertebrate. If the erythro-
cytes are invaded, pigment (hemozoin) is
formed from the host cell hemoglobin.
This suborder was customarily div-
ided into 2 families, the Plasmodiidae
containing the genus Plasmodium, and the
Haemoproteidae containing the genera
Haenioprotens and Leiicocytozoon. The
principal difference was that in the Plas-
modiidae schizogony was thought to take
place only in the erythrocytes, while in
the Haemoproteidae it takes place in the
lungs, liver, spleen, kidneys and other
internal organs. However, when the com-
plete life cycles of several species of
avian and human Plas)}io(lium were worked
out (Huff and Coulston, 1944, 1946; Shortt
and Garnham, 1948; Short et al. , 1951;
Garnham, 1954; Bray, 1957), it was real-
ized that schizogony may occur both within
the erythrocytes and exoerythrocytically.
The distinction between the two families
is thus an artificial one, and there is no
point in retaining more than a single fam-
ily in the suborder.
It is likely, as Manwell (1955) has
suggested, that the Haemospororina may
well have arisen from the coccidia of ver-
tebrates rather than from those of insects,
as had been more commonly supposed.
Genera like Lankesterella and Schellackla,
in which schizogony, gametogony and
sporogony all take place in the vertebrate
host and in which the sporozoites invade
the blood cells and are transmitted by
mites or other blood-suckers, could well
be the starting-point for the transition
from the Eimeriorina to the Haemospor-
orina.
'■4^^ MAiS,
KY ]^|
Chapter 10
PLASMODIUM
HAEMOPROTEUS
AND
LEUCOCYTOZOON
- 259
260
PLASMODHJM, HAEMOPROTEUS AND LEUCOCYTOZOON
FAMILY PLASMODIIDAE
This family has the characters of the
suborder. Its taxonomy has been reviewed
by Garnhan (1953) and Bray (1957). These
authors preferred to split the classical
genus Plasniodtion into several genera,
based on the life cycles of their species,
but it is simpler not to do so.
Genus PLASMODIUM Marchiafava
and Celli, 1885
The gametocytes occur in the erythro-
cytes. Schizogony takes place in the ery-
throcytes and also in various other tis-
sues, depending on the species. The exo-
erythrocytic ("e.e.") schizonts are solid
or, at the most, vacuolated bodies. Mem-
bers of this genus are parasites of mam-
mals, birds and lizards. They are trans-
mitted by mosquitoes. Anopheles trans-
mitting the mammalian species, and
culicines or sometimes Anopheles the
avian and reptilian ones.
Members of this genus cause malaria,
which is still the most important disease
of man. They also cause a similar dis-
ease in birds. Coatney and Roudabush
(1949) have cataloged the species of Plas-
modium, and other species are discussed
by Bray (1957). Man has 4 species, higher
apes 4, lower apes and lemurs 7, rodents
2, and bats 1. Birds have 14 or 15 valid
species (Hewitt, 1940; Bray, 1957; Laird
and Lari, 1958).
Life Cycle : The life cycle of Plas-
modluin vivaxoi man is representative.
The sporozoites enter the blood thru a
mosquito bite. They stay in the blood less
than an hour, quickly entering liver par-
enchymal cells. Here they become schi-
zonts (known as cryptozoites from their
location), which enlarge and divide by
multiple fission to form metacryptozoites
(a type of merozoite). These enter new
liver parenchymal cells, undergo multiple
fission, and form new metacryptozoites.
This process may go on indefinitely in P.
vivax, but in another human species, P.
falciparnni , there is only a single genera-
tion of metacryptozoites.
The metacryptozoites break out of the
liver cells, pass into the blood stream and
enter the erythrocytes about a week to 10
days after infection. Here they round up
and develop a large vacuole in their cen-
ter. They are called ring stages because
in Romanowsky stained smears they re-
semble a signet ring, with a red nucleus
at one edge and a thin ring of blue cyto-
plasm around the vacuole. These grow
and are now called schizonts or tropho-
zoites.
The trophozoites were formerly
thought to obtain their nutriment sapro-
zoically, but Rudzinska and Trager (1957)
showed in an electron microscope study
of P. lophurae of the duck that they are
holozoic as well. They form food vacuoles
containing host cell cytoplasm by invagina-
tion. The hematin pigment granules are
formed within these food vacuoles by di-
gestion of the hemoglobin. This study,
incidentally, settled once and for all the
question which is raised perennially as to
whether Plasmodium occurs within or on
the surface of the host cell; it is within it.
The trophozoites undergo schizogony
to produce merozoites, the number depend-
ing on the species. These break out of the
erythrocytes, enter new ones, and repeat
the cycle indefinitely.
The length of each cycle depends on
the parasite species. It is 2 days in P.
vivax and P. falciparum, and 3 days in
another human species, P. malariae.
Practically all the parasites are generally
in the same stage of the cycle at the same
time, so all the merozoites break out of
the red cells and pass into the blood at the
same time. Along with them go the hema-
tin granules and other waste products pro-
duced by the parasites' metabolism. These
are toxic, and cause a violent reaction or
paroxysm in the host- -the chills and fever
characteristic of malaria.
After the infection has been present
for some time and after an indefinite num-
ber of asexual generations, some mero-
zoites entering the erythrocytes develop
into macrogametes and others develop into
microgametocytes. The former are
PLASMODIUM, HAEMOPROTEUS AND LEUCOCYTOZOON
261
customarily called macrogametocytes,
but this name is incorrect since they are
haploid from the start (see below). They
remain in this stage until the blood is in-
gested by a mosquito.
In the stomach of the mosquito, micro-
gametes are produced. The changes in the
microgametocytes are striking. Within 10
to 15 minutes the nucleus divides, and 6
to 8 long, heavy flagellum-like micro-
gametes are extruded. This process is
known as exflagellation. The microgam-
etes break off and swim freely until they
find a macrogamete. Fertilization takes
place, and a motile zygote (ookinete) is
formed.
The ookinete penetrates into the stom-
ach wall and grows into an oocyst, which
forms a ball 50 to 60 /i in diameter on the
outer surface of the stomach. The oocyst
nucleus divides repeatedly and a number
of sporoblasts are formed. The nucleus
of each sporoblast then divides repeatedly,
and eventually each oocyst comes to con-
tain 10,000 or more slender, spindle-
shaped sporozoites about 15/i long with a
nucleus in the center. These break out of
the oocyst into the body cavity and migrate
to the salivary glands. They are then in-
jected into a new host when the mosquito
bites again. The process of sporozoite
development takes 10 days to 3 weeks or
longer, depending on the species of Plas-
modin))i, the species of mosquito and the
temperature.
Once infected, a mosquito remains
infected for life, and can transmit the
parasites every time it bites. There is a
case on record (James, 1927) of a mos-
quito which lived from August 5 to Novem-
ber 16 and infected more than 40 general
paresis patients as part of their therapy.
In vivax and malariae malaria, re-
lapses are common and may occur for a
number of years after the individual has
had his first attack. Between attacks the
parasites are ordinarily not found in the
blood. What apparently happens is that
all the parasites do not leave the liver
when the metacryptozoites emerge into the
blood stream, but a few remain there and
continue to multiply in secret until such
time as the body's defenses have decreased
sufficiently so that the parasites can again
invade the blood.
There are several variations of the
above general pattern. In P. falciparimi
of man, there is only a single generation
of metacryptozoites in the liver, and re-
lapses rarely occur. In addition, the
schizonts and merozoites of this species
are rarely seen in the peripheral blood.
Instead, the infected red cells become
viscid and clump together in the internal
organs.
In the avian species, exoerythrocytic
schizogony does not take place in the liver
parenchyma, but either in the endothelial
cells (P. gallinaceiiiii . P. relictum, P.
catlienieriuDi, P. lophnrae. P. fallax, P.
circitiii/lexiiiii, P. diirae, P. juxtaimcleare,
P. hexameriitm) or largely in the haenio-
poietic cells (P. elo)2gatiau , P. vanghaiii
and probably P. Imffi and P. rouxi).
In bird malaria also, but not in mam-
malian malaria, some of the merozoites
which have been formed in the erythrocytes
are able to enter the tissue cells and de-
velop exoerythrocytically. They are known
as phanerozoites, but they do not differ
morphologically from the forms derived
from sporozoites.
Plas))todiuiii is haploid thruout its life
cycle except for a brief period following
fertilization and zygote formation. In a
cytologic study of the early oocysts of 7
species of Plasmodium in mosquitoes,
Bano (1959) found that the oocysts undergo
meiosis 2 to 3 days after the infective blood
meal, the time depending on the species.
For P. vivax it was 48 hours, for P. gal-
linaceiDii 53 to 55 hours, and for P. inui
72 to 79 hours. After that, division is by
mitosis.
The haploid number of chromosomes
is 2 for P. falciparum, P. malariae, P.
ovale, P. lophurae, P. relictum, P.
floridense (Wolcott, 1955, 1957), P. vivax,
P. kiioivlesi, P. berghei (Wolcott, 1955,
1957; Bano, 1959), and P. gallinaceum
(Bano, 1959); it is 3 for P. gonderi and
262
PLASMODIUM, HAEMOPROTEUS AND LEUCOCYTOZOON
4 for P. cynoniolgi and P. inui (Bano,
1959).
Cultivation : Various species of
Plasniodiiun have been cultivated in fluid
media (Trager, 1947; Anfinsen el al. ,
1946; Geiman el al. , 1946) and in avian
embryos and tissue culture (see Pipkin
and Jensen, 1958 for a review).
HUMAN MALARIA
The following discussion of human
malaria is necessarily brief. Further
details and references can be found in any
textbook of human parasitology and, in
more detail, in Boyd (1949) and Mac-
donald (1957).
Man has 4 recognized species of
Plasmodium . P. falciparum (Welch,
1897) Schaudinn, 1902 is the cause of ma-
lignant tertian, aestivo-autumnal or fal-
ciparum malaria. Paroxysms of chills
and fever occur every other day (i. e. , on
days 1 and 3, which accounts for the name
"tertian"). The ring forms are about
1/6 to 1/5 the diameter of a red blood
cell. The schizonts and merozoites
("segmenters") rarely occur in the peri-
pheral circulation, but are found in
clumped erythrocytes in the viscera. The
schizonts are usually compact and
rounded, with coarse, blackish pigment.
The segmenters occupy 2/3 to 3/4 of the
host cell and form 8 to 32 merozoites.
The host erythrocyte is not enlarged but
contains reddish clefts known as Maurer's
dots and may also have bluish stippling.
The macrogametes and microgametocytes
are crescent- or bean-shaped, with pig-
ment granules clustered around a central
nucleus or scattered except at the poles.
The microgametocytes have pale blue cyto-
plasm and a relatively large, pink nucleus
when stained with Giemsa's stain. The
macrogametes have darker blue cytoplasm
and a more compact, red nucleus.
Plasmodium fif ax (Grass i and Feletti,
1890) Labbe', 1899 is the cause of benign
tertian or vivax malaria. Paroxysms
occur every other day as in falciparum
malaria. The ring forms are about 1 '3 to
1/2 the diameter of the host cell. The
schizonts are highly active and sprawled
out irregularly over the host cell, with
small, brown pigment granules usually
collected in a single mass. The host cell
is enlarged, pale, and contains red dots
known as Schuffner's dots. The segment-
ers nearly fill the host cell and produce
15 to 20 or occasionally up to 32 irregu-
larly arranged merozoites. The macro-
gametes and microgametocytes are
rounded, 10 to 14fi in diameter (i. e. ,
larger than normal erythrocytes), and have
fine, brown, evenly distributed pigment
granules. The microgametocytes have
pale blue cytoplasm and a relatively large,
pink nucleus when stained with Giemsa's
stain. The macrogametes are slightly
larger, with darker blue cytoplasm and a
small, red nucleus.
Plasmodimn malariae (Laveran, 1881)
Grassi and Feletti, 1890 is the cause of
quartan or malariae malaria. This species
also occurs naturally in chimpanzees in
West Africa (Garnham, 1958). Paroxysms
occur every 3 days (i. e. , on days 1 and 4).
The ring forms are similar to those of P.
vivax. The schizonts are more compact
and rounded or are drawn out in a band
across the host cell; their pigment gran-
ules are blacker and coarser than those of
P. vivax. The host cell is not enlarged
and does not contain Schuffner's dots. The
segmenters nearly fill the host cell and
produce 6 to 12 (usually 8 or 9) merozoites
arranged in a rosette. The macrogametes
and microgametocytes are rounded and
smaller than those of P. vivax. They do
not quite fill the host cell and contain
blacker and coarser pigment granules.
Plasmodium ovale Stephens, 1922 is
a rare species which causes a tertian type
of malaria. Its ring forms are similar to
those of P. vivax. The schizonts are
usually round, with brownish, coarse,
somewhat scattered pigment granules. The
host cell is oval, often fimbriated, not
much enlarged, and contains Schuffner's
dots. The segmenters occupy 3/4 of the
host cell and produce 8 to 10 merozoites
PLASMODIUM, HAEMOPROTEUS AND LEUCOCYTOZOON
263
in a grape-like cluster. The macrogametes
and microgametocytes are rounded, occupy
3/4 of the host cell and have coarse, black
evenly distributed pigment granules.
A vivax-type Plasmodium, P. cyno-
molgi, occurs in macaques. Eyles, Coat-
ney and Getz (1960) recently described
accidental laboratory infections of 2 hu-
mans with P. c. bastianellii originally
isolated from Macaca iriis from Malaya.
They were able to infect 2 other humans
experimentally by allowing them to be
bitten by infected Anopheles freeborni
mosquitoes. This finding and the presence
of P. malariae in chimpanzees suggest
that more than one of the human malarias
may be zoonoses.
Pathogenesis : The malarial paroxysm
is highly characteristic. It begins with a
severe chill. The patient shivers uncon-
trollably, his teeth chatter, and he has
gooseflesh, altho his temperature is actu-
ally above normal. The chill is followed
by a burning fever, headache and sweating.
This gradually subsides, the temperature
falls, and after 6 to 10 hours the patient
feels much better--UDtil his next paroxysm.
The destruction of erythrocytes causes
anemia.
After a certain number of paroxysms,
the attack of malaria subsides. Relapses
may occur over a period of years in vivax
and malariae malaria, but this is rarely
the case in falciparum malaria.
In general, mortality from malaria is
higher in children than in adults in endemic
areas, because by the time the people be-
come adult they have had repeated attacks,
and those who have survived have devel-
oped a good deal of immunity. For this
reason, if one wants to determine the in-
cidence of malaria in an area, it is better
to examine children than adults.
A highly fatal, cerebral form of ma-